Organization · Type 2 NPI
Idaho Center for Reproductive Medicine PC
Reproductive Endocrinology Physician · Boise, ID
NPI number
1063551174
Active
Practice location
111 Main St, Suite 100
Boise, ID 83702-7307
Fax (208) 342-2088
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Reproductive Endocrinology Physician Primary | 207VE0102X | M7577 (ID) |
| Reproductive Endocrinology Physician | 207VE0102X | M8614 (ID) |
Reproductive Endocrinology Physician: An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Another provider at this address
About NPI 1063551174
Idaho Center for Reproductive Medicine PC's National Provider Identifier is 1063551174, issued on Feb 5, 2007. The primary taxonomy on file is Reproductive Endocrinology Physician (207VE0102X), and the practice location is in Boise, ID. The record was last updated on Aug 22, 2020.