Organization · Type 2 NPI

Gen State Integrative Medicine

Family Medicine Physician · Meridian, ID

NPI number 1790609477 Active

Practice location

1500 East Heritage Park Lane, Suite 150, Suite 150
Meridian, ID 83646

Fax (208) 202-7246

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 1790609477

Gen State Integrative Medicine's National Provider Identifier is 1790609477, issued on Aug 6, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Meridian, ID. The record was last updated on Aug 6, 2026.