Individual provider · Type 1 NPI

Phillip Imperio

Medical Physician Assistant · Boise, ID

NPI number 1790504959 Active

About NPI 1790504959

Phillip Imperio's National Provider Identifier is 1790504959, issued on Oct 5, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boise, ID. The record was last updated on May 13, 2025.