Wynn, Donraphael

Wynn, Donraphael is an sole proprietor health care provider with primary practice located at 1072 N Liberty St Ste 303, Boise ID 83704. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Wynn, Donraphael can be contacted via phone (208) 302-4200.

Contact Information

Primary practice address
1072 N Liberty St Ste 303 Boise ID 83704
Phone: (208) 302-4200
Fax: (208) 302-4255
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 9164199-1205 Utah
Allopathic & Osteopathic Physicians / Neurology 2084N0400X M-14403 Idaho

Profile Details

NPI number 1396188751
LBN Legal business name Wynn, Donraphael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2013
Last updated Oct 24th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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