Provider Demographics
NPI:1831539220
Name:SCHWIND, ADAM RICHARD (DO)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:RICHARD
Last Name:SCHWIND
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 44527
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83711-0527
Mailing Address - Country:US
Mailing Address - Phone:208-384-9022
Mailing Address - Fax:208-947-3465
Practice Address - Street 1:900 N HAPPY VALLEY RD
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687-8596
Practice Address - Country:US
Practice Address - Phone:208-206-0261
Practice Address - Fax:208-367-3951
Is Sole Proprietor?:No
Enumeration Date:2013-06-28
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP61523007207Q00000X
IDO-0853207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine