IDAHO MEMORY & AGING CENTER PLLC NPI 1730528548

NPI Information

IDAHO MEMORY & AGING CENTER PLLC is a geriatric psychiatry psychiatry neurology in Boise, ID. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. IDAHO MEMORY & AGING CENTER PLLC NPI is 1730528548. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

413 N ALLUMBAUGH ST
STE# 101
BOISE, ID
ZIP 83704-212
Phone: (617) 922-4957

The provider's authorized official is Abhilash K Desai .
The authorized official title is Medical Director and has the following contact phone number (617) 922-4957.

The enumeration date for this NPI number is 6/14/2013 and was last updated on 7/19/2013.

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:

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