MOUNTAIN STATES MEDICAL GROUP PA NPI 1730272006

NPI Information

MOUNTAIN STATES MEDICAL GROUP PA 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. MOUNTAIN STATES MEDICAL GROUP PA NPI is 1730272006. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4809 FAIRVIEW AVENUE
BOISE, ID
ZIP 83706-242
Phone: (208) 378-2840
Fax: (208) 323-9070

The provider's authorized official is Richard Mcchrystal .
The authorized official title is President and has the following contact phone number (208) 378-2840.

The enumeration date for this NPI number is 10/1/2006 and was last updated on 9/15/2008.

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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