Organization · Type 2 NPI

Mountain States Medical Group PA

Family Medicine Physician · Boise, ID

NPI number 1730272006 Active

Practice location

4809 Fairview Avenue
Boise, ID 83706-2242

Call (208) 378-2840 Map

Fax (208) 323-9070

Mailing address

PO Box 4236
Boise, ID 83711-4236

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

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 1730272006

Mountain States Medical Group PA's National Provider Identifier is 1730272006, issued on Oct 1, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Boise, ID. The record was last updated on Sep 15, 2008.