Organization · Type 2 NPI
Idaho Concierge Medicine LLC
Adult Medicine Physician · Boise, ID
NPI number
1013712330
Active
Practice location
11696 W Gabrielle Ct # 83713
Boise, ID 83713-7812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1013712330
Idaho Concierge Medicine LLC's National Provider Identifier is 1013712330, issued on Feb 19, 2025. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Boise, ID. The record was last updated on Mar 26, 2026.