Organization · Type 2 NPI

Idaho Joint and Spine, PC

Medical Specialty Clinic/Center · Boise, ID

NPI number 1891104014 Active

Practice location

9510 W Fairview Ave
Boise, ID 83704-8103

Fax (208) 323-1386

Specialties and licenses

Taxonomy	Code	License
Medical Specialty Clinic/Center Primary	261QM2500X	O-0794 (ID)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1891104014

Idaho Joint and Spine, PC's National Provider Identifier is 1891104014, issued on Aug 13, 2014. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Boise, ID. The record was last updated on Aug 13, 2014.