Organization · Type 2 NPI

Idaho Memory & Aging Center PLLC

Geriatric Psychiatry Physician · Boise, ID

NPI number 1730528548 Active

About NPI 1730528548

Idaho Memory & Aging Center PLLC's National Provider Identifier is 1730528548, issued on Jun 14, 2013. The primary taxonomy on file is Geriatric Psychiatry Physician (2084P0805X), and the practice location is in Boise, ID. The record was last updated on Jul 19, 2013.