Organization · Type 2 NPI

Functional Medicine Center of Boise LLC

Primary Care Clinic/Center · Nampa, ID

NPI number 1710477310 Active

About NPI 1710477310

Functional Medicine Center of Boise LLC's National Provider Identifier is 1710477310, issued on May 18, 2018. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Nampa, ID. The record was last updated on Jul 12, 2018.