Organization · Type 2 NPI

Star Medical Center PC

General Practice Registered Nurse · Star, ID

NPI number 1508918244 Active

Practice location

9858 W State St
Star, ID 83669-5210

Fax (208) 286-0565

Mailing address

PO Box 44267
Boise, ID 83711-0267

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000XNone listed

General Practice Registered Nurse: Definition to come...

5 other providers at this address

About NPI 1508918244

Star Medical Center PC's National Provider Identifier is 1508918244, issued on Jan 16, 2007. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Star, ID. The record was last updated on May 14, 2013.