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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FUNCTIONAL MEDICINE OF IDAHO PC

Active Organization

FUNCTIONAL MEDICINE OF IDAHO PC is a Family Medicine organization located in BOISE, Idaho. NPI 1336656040 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BOISE, ID

Registration Details

NPI Number
1336656040
Provider Type
Organization
NPI Issued
Jan 3, 2018 (8.6223856250961 yrs)
Last Updated
Jan 3, 2018

Practice Information

Address
3858 N GARDEN CENTER WAY STE 100
BOISE, ID, 837035008
Browse ID providers · Browse ZIP 83703
Phone
2083857711
Fax
2083850346
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.