Organization · Type 2 NPI

Pediatric Neurosurgry of Idaho PC

Neurological Surgery Physician · Boise, ID

NPI number 1750337978 Active

Practice location

100 E Idaho St
Boise, ID 83712-6270

Call (208) 381-7360 Map

Fax (208) 381-7361

Mailing address

6140 Curtisian Ave, Suite 400
Boise, ID 83704-8880

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XM8385 (ID)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1750337978

Pediatric Neurosurgry of Idaho PC's National Provider Identifier is 1750337978, issued on May 26, 2006. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Boise, ID. The record was last updated on May 26, 2008.