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

MOUNTAIN STATES MEDICAL GROUP PA

Active Organization

MOUNTAIN STATES MEDICAL GROUP PA is a Family Medicine organization located in BOISE, Idaho. NPI 1730272006 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BOISE, ID

Registration Details

NPI Number
1730272006
Provider Type
Organization
NPI Issued
Oct 1, 2006 (19.845933651671 yrs)
Last Updated
Sep 15, 2008

Practice Information

Address
4809 FAIRVIEW AVENUE
BOISE, ID, 837062242
Browse ID providers · Browse ZIP 83706
Phone
2083782840
Fax
2083239070
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.