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

IDAHO PEDIATRIC GASTROENTEROLOGY PA

Active Organization

IDAHO PEDIATRIC GASTROENTEROLOGY PA is a Specialist organization located in BOISE, Idaho. NPI 1780871467 is currently active in the NPPES registry. Verify at CMS.

Specialist · BOISE, ID

Registration Details

NPI Number
1780871467
Provider Type
Organization
NPI Issued
Sep 26, 2007 (18.904676669276 yrs)
Last Updated
Sep 26, 2007
License
M7673 (ID)

Practice Information

Address
100 E IDAHO ST
SUITE 316
BOISE, ID, 837126223
Browse ID providers · Browse ZIP 83712
Phone
2083817310
Primary Specialty
Specialist
174400000X
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.