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

PHILLIP IMPERIO

Active

PHILLIP IMPERIO is a Medical Physician Assistant healthcare provider located in BOISE, Idaho. NPI 1790504959 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BOISE, ID

Registration Details

NPI Number
1790504959
Provider Type
Individual
Gender
Male
NPI Issued
Oct 5, 2024 (1.9033255122417 yrs)
Last Updated
May 13, 2025

Practice Information

Address
633 N 4TH ST
BOISE, ID, 837024510
Browse ID providers · Browse ZIP 83702
Phone
2083429800
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in BOISE, ID

Name Credential NPI
MARSHALL GARDNER PA-C 1316943343
JESSICA ANNE BRIGGS PA-C 1053311084
BRADY G HAMILTON PA-C 1245221258
NATHAN JOHN CHURCH PA-C 1386635977
MRS. JENNIFER M FEIRSTEIN PA-C 1073599106
ROBERT E SHUMAKER PA 1902867849
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.