Most Relevant Information
Provider Data
| NPI Number: | 1003834987 |
| Provider Name: | NICOLAS A CAMILO MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2080P0207X |
| Specialty: | Pediatrics |
| License Number: | M-9357 |
Most Important Dates
| Enumeration Date: | 07/18/2006 |
| Last Updated: | 01/08/2024 |
Provider Practice Location
100 E IDAHO ST.
BOISE
ID
83712
Practice Location Phone/Fax
| Phone: | 2083812782 |
| Fax: | 2083813172 |
Provider Mailing Location
190 E BANNOCK ST
BOISE
ID
837126241
Provider Mailing Phone/Fax
| Phone: | 2083812782 |
| Fax: | 2083813172 |