Provider Demographics
NPI:1831261544
Name:LINSON, WILLIAM K (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:K
Last Name:LINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3445 E BOULDER HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83712-8565
Mailing Address - Country:US
Mailing Address - Phone:208-426-9090
Mailing Address - Fax:
Practice Address - Street 1:3445 E BOULDER HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83712-8565
Practice Address - Country:US
Practice Address - Phone:208-388-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM-55192084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDA68076Medicare UPIN