Organization · Type 2 NPI

Idaho Neurological Surgery, P.a.

Specialist · Boise, ID

NPI number 1962691204 Active

Practice location

222 N. 2nd Street, Suite 307
Boise, ID 83702-6131

Fax (208) 344-1331

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XM-3522 (ID)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1962691204

Idaho Neurological Surgery, P.a.'s National Provider Identifier is 1962691204, issued on Oct 23, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Boise, ID. The record was last updated on Oct 23, 2007.