BOISE FAMILY MEDICINE CENTER NPI 1376747790

NPI Information

BOISE FAMILY MEDICINE CENTER 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. BOISE FAMILY MEDICINE CENTER NPI is 1376747790. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10798 W. OVERLAND RD
BOISE, ID
ZIP 83709-329
Phone: (208) 377-3368
Fax: (208) 322-4691

The provider's authorized official is Dale L Mock .
The authorized official title is Owner/physician and has the following contact phone number (208) 377-3368.

The enumeration date for this NPI number is 6/11/2007 and was last updated on 9/8/2010.

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:

Other Identifiers

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