Search icon

DELRAY MAUGHAN, M.D. PLLC

Company claim

Is this your business?

Get access!

Company Details

Name: DELRAY MAUGHAN, M.D. PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 12 Jan 2017 (9 years ago)
Financial Date End: 31 Jan 2021
Date dissolved: 04 Jan 2021
Entity Number: 535371
Place of Formation: IDAHO
File Number: 535371
ZIP code: 83646
County: Ada County
Principal Address: 130 RIVER HEIGHTS DR MERIDIAN, ID 83646
Mailing Address: DELRAY MAUGHAN STE 101 13900 W WAINWRIGHT DR BOISE, ID 83713-5028

Agent

Name Role Address
DELRAY MAUGHAN Agent 13900 W. WAINWRIGHT DR. STE 101, DELRAY MAUGHAN, BOISE, ID 83713-5028

National Provider Identifier

NPI Number:
1952822942

Authorized Person:

Name:
DR. DELRAY MAUGHAN
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Y00000X - Otolaryngology Physician
Is Primary:
Yes

Contacts:

Fax:
2099385306
Fax:
2089385306

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0004116641 2021-01-04
Annual Report 0003785489 2020-02-20
Annual Report 0003458435 2019-03-20
Annual Report 0003150804 2018-01-08
Initial Filing 0000535371 2017-01-12

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 03 Jul 2025

Sources: Idaho Secretary of State