FUNCTIONAL MEDICINE OF IDAHO PC NPI 1336656040

NPI Information

FUNCTIONAL MEDICINE OF IDAHO PC is a family medicine in Boise, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FUNCTIONAL MEDICINE OF IDAHO PC NPI is 1336656040. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3858 N GARDEN CENTER WAY STE 100
BOISE, ID
ZIP 83703-008
Phone: (208) 385-7711
Fax: (208) 385-0346

The provider's authorized official is Samuel James Warren .
The authorized official title is President and has the following contact phone number (208) 385-7711.

The enumeration date for this NPI number is 1/3/2018 and was last updated on 1/3/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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