Individual provider · Type 1 NPI

Ali Sup, DO

Family Medicine Physician · Nampa, ID

NPI number 1427670157 Active

Practice location

3165 E Greenhurst Rd
Nampa, ID 83686-8655

Call (208) 463-7300 Map

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XO-1580 (ID)
Family Medicine Physician 207Q00000XMRO-1938 (ID)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1427670157

Ali Sup, DO's National Provider Identifier is 1427670157, issued on May 15, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Nampa, ID. The record was last updated on Dec 23, 2025.