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Contact Information

EVAN MELVILLE, DO
2619 W FAIRVIEW AVE
BOISE, ID83702-6722
 Phone: 208-706-9311
 Fax: 208-489-4300
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for EVAN MELVILLE · (Male)

NPI # 1942867148
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/22/2019
Last updated 12/05/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • ID License # O-1882
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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