INTERMOUNTAIN FUNCTIONAL MEDICINE, PLLC is a family nurse practitioner in Boise, ID. INTERMOUNTAIN FUNCTIONAL MEDICINE, PLLC NPI is 1659719177. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
913 S ALLANTE PL
BOISE, ID
ZIP 83709-612
Phone: (208) 947-5390
Fax: (208) 947-3465
The provider's authorized official is Kathy L Bowen .
The authorized official title is Sole Member and has the following contact phone number (208) 947-5390.
The enumeration date for this NPI number is 6/6/2013 and was last updated on 6/6/2013.