Provider

ADVANCED WOUND THERAPY IDAHO PLLC

Public NPPES listing with taxonomy: Family Medicine.

Resource details

Medicare status: Confirm directly

Unknown from NPPES

Source: NPPES NPI Registry

NPI: 1619863404

Taxonomy: Family Medicine (207Q00000X)

Source confidence: 58%

Medicare assignment: Unknown from NPPES

Address: 1224 N IDAHO ST STE 9, POST FALLS, ID, 838549024

Phone: 918-592-0920

Last verified: May 15, 2026