BOISE BASIN INFERTILITY & GYNECOLOGY P.A. NPI 1831285857

NPI Information

BOISE BASIN INFERTILITY & GYNECOLOGY, P.A. is a specialist in Boise, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BOISE BASIN INFERTILITY & GYNECOLOGY, P.A. NPI is 1831285857. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

811 N 6TH ST
BOISE, ID
ZIP 83702-545
Phone: (208) 345-2006
Fax: (208) 345-1408

The provider's authorized official is Philip M Krueger .
The authorized official title is President and has the following contact phone number (208) 345-2006.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 5/15/2008.

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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