Idaho Center For Reproductive Medicine Pc in Boise - Reproductive Endocrinology
Idaho Center For Reproductive Medicine Pc - NPI 1063551174
Idaho Center For Reproductive Medicine Pc is a Reproductive Endocrinology in Boise, Idaho. Idaho Center For Reproductive Medicine Pc practices all healthcare services and medical treatments related to Reproductive Endocrinology. The NPI Number for Idaho Center For Reproductive Medicine Pc is 1063551174. The last update date is 2020-08-22.
Idaho Center For Reproductive Medicine Pc's current location address is 111 Main St, Boise, Idaho. You can contact this provider via phone number 2083425900 and fax number 2083422088. The mailing address for Idaho Center For Reproductive Medicine Pc is 111 Main St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Center For Reproductive Medicine Pc |
|---|---|
| Address | 111 Main St, Boise, Idaho |
| Phone Number | 2083425900 |
| Fax Number | 2083422088 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUS ADMIN |
|---|---|
| Authorized Official Name | Andrews T Genie |
| Telephone Number | 2083425900 |
NPI Number Detail
| NPI Number | 1063551174 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 111 Main St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837027307 |
| Phone Number | 2083425900 |
| Fax Number | 2083422088 |
Provider's Primary Taxonomy Detail
| Speciality | Reproductive Endocrinology |
|---|---|
| Taxonomy | 207Ve0102X |
| Licence No | M8614 |
|
Definition: An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8G189 | ID | BLUE CROSS CLINIC | |
| 513CO | ID | BLUE CROSS DR FOULK | |
| 51292 | ID | BLUE CROSS DR SLATER |
Post Comment/ Review Below
What is the unique identifier code issued to Idaho Center For Reproductive Medicine Pc by the Centers for Medicare & Medicaid Services?
The Idaho Center For Reproductive Medicine Pc has been assigned the NPI (National Provider Identifier) 1063551174. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Idaho Center For Reproductive Medicine Pc?
The Idaho Center For Reproductive Medicine Pc is situated at 111 Main St, in the city of Boise, state of ID, with the zip code 837027307.
What is Idaho Center For Reproductive Medicine Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Idaho Center For Reproductive Medicine Pc's area of specialization is Reproductive Endocrinology, and the corresponding taxonomy code that categorizes this field of practice is 207Ve0102X.
On what date did the Idaho Center For Reproductive Medicine Pc receive the assignment of its 1063551174 from the Centers for Medicare & Medicaid Services?
The Idaho Center For Reproductive Medicine Pc was issued its 1063551174 by the Centers for Medicare & Medicaid Services on 2007-02-05.
When was the Idaho Center For Reproductive Medicine Pc's information last updated?
The Idaho Center For Reproductive Medicine Pc's information was last updated on 2020-08-22.