ST CLAIR SPECIALTY PHYSICIANS is a nephrology internal medicine in Boise, ID. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. ST CLAIR SPECIALTY PHYSICIANS NPI is 1063719292. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
5610 GAGE STREET
SUITE A
BOISE, ID
ZIP 83706
Phone: (208) 367-3370
The provider's authorized official is Robert Provenzano .
The authorized official title is President/partner and has the following contact phone number (313) 886-8787.
The CLIA number assigned to this NPI record is 23D2007491 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/24/2011 and was last updated on 2/24/2011.