IDAHO PEDIATRIC GASTROENTEROLOGY PA 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. IDAHO PEDIATRIC GASTROENTEROLOGY PA NPI is 1780871467. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
100 E IDAHO ST
SUITE 316
BOISE, ID
ZIP 83712-223
Phone: (208) 381-7310
The provider's authorized official is Henry R Thompson .
The authorized official title is President and has the following contact phone number (208) 381-7310.
The enumeration date for this NPI number is 9/26/2007 and was last updated on 9/26/2007.