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

IDAHO MEMORY & AGING CENTER PLLC

Active Organization

IDAHO MEMORY & AGING CENTER PLLC is a Geriatric Psychiatry organization located in BOISE, Idaho. NPI 1730528548 is currently active in the NPPES registry. Verify at CMS.

Geriatric Psychiatry · BOISE, ID

Registration Details

NPI Number
1730528548
Provider Type
Organization
NPI Issued
Jun 14, 2013 (12.981617911189 yrs)
Last Updated
Jul 19, 2013
License
M-12079 (ID)

Practice Information

Address
413 N ALLUMBAUGH ST
STE# 101
BOISE, ID, 837049212
Browse ID providers · Browse ZIP 83704
Phone
6179224957
Primary Specialty
Geriatric Psychiatry
2084P0805X
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.