Organization · Type 2 NPI

Boise Endoscopy Center LLC

Ambulatory Surgical Clinic/Center · Boise, ID

NPI number 1114912102 Active

Practice location

425 W Bannock St
Boise, ID 83702-6035

Fax (208) 368-0863

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903X1870273 (ID)

Ambulatory Surgical Clinic/Center: Definition to come...

28 other providers at this address

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About NPI 1114912102

Boise Endoscopy Center LLC's National Provider Identifier is 1114912102, issued on Sep 15, 2005. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Boise, ID. The record was last updated on Apr 18, 2026.