BOISE PATHOLOGY GROUP P.A. NPI 1063466225

NPI Information

  • NPI: 1063466225
  • Provider Name: BOISE PATHOLOGY GROUP P.A.
  • Classification: Pathology - 207ZD0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • Address: 190 E BANNOCK ST
    BOISE, ID
    ZIP 83712
  • Phone: (208) 381-2367

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NPI Details

BOISE PATHOLOGY GROUP P.A. is a dermatopathology pathology in Boise, ID. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. BOISE PATHOLOGY GROUP P.A. NPI is 1063466225. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

190 E BANNOCK ST
BOISE, ID
ZIP 83712-241
Phone: (208) 381-2367

The provider's authorized official is Richard Stillinger .
The authorized official title is Secretary-treasurer and has the following contact phone number (208) 381-2367.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 9/11/2025.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZC0500XPathologyCytopathologyNo
2207ZH0000XPathologyHematologyNo
3207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNo
4207ZD0900XPathologyDermatopathologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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