Provider Demographics
NPI:1164527925
Name:ARMOUR, WILLIAM EMMETT III (MD)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:EMMETT
Last Name:ARMOUR
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2001 S WOODRUFF AVE
Mailing Address - Street 2:STE 12A
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83404-6372
Mailing Address - Country:US
Mailing Address - Phone:208-529-2440
Mailing Address - Fax:208-529-0359
Practice Address - Street 1:2001 S WOODRUFF AVE
Practice Address - Street 2:SUITE 12A
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83404-6374
Practice Address - Country:US
Practice Address - Phone:208-529-2440
Practice Address - Fax:208-529-0359
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IDM4394174400000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID000323500Medicaid
IDB63531Medicare UPIN
ID000323500Medicaid