SPARKMD NPI 1427443613

NPI Information

  • NPI: 1427443613
  • Provider Name: SPARKMD
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: SPARKMD
  • Address: 302 W IDAHO ST
    BOISE, ID
    ZIP 83702
  • Phone: (208) 369-4590

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NPI Details

SPARKMD is a primary care clinic center in Boise, ID. SPARKMD NPI is 1427443613. The provider is registered as an organization entity type.
The provider Is Doing Business As Sparkmd.

The provider's business location address is:

302 W IDAHO ST
BOISE, ID
ZIP 83702-039
Phone: (208) 369-4590

The provider's authorized official is Julie Kristen Gunther .
The authorized official title is Owner, Physician and has the following contact phone number (208) 369-4590.

The enumeration date for this NPI number is 4/3/2015 and was last updated on 4/21/2015.

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
1261QP2300XClinic/CenterPrimary CareM-10803IDAHOYes

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: 3/30/2025

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