Boise Surgical Group in Meridian - Surgery

Boise Surgical Group - NPI 1871648352

Boise Surgical Group is a Surgery in Meridian, Idaho. Boise Surgical Group practices all healthcare services and medical treatments related to Surgery. The NPI Number for Boise Surgical Group is 1871648352. The last update date is 2010-06-29.

Boise Surgical Group's current location address is 3399 E. Louise Dr., Meridian, Idaho. You can contact this provider via phone number 2083643000 and fax number 2083643191. The mailing address for Boise Surgical Group is 3399 E. Louise Dr., Meridian, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Boise Surgical Group
Address 3399 E. Louise Dr., Meridian, Idaho
Phone Number 2083643000
Fax Number 2083643191
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRACTICE A
Authorized Official Name Grunzke Kirsten
Telephone Number 2083643000

NPI Number Detail

NPI Number 1871648352
Provider Enumeration Date 2007-01-24
Last Updated Date 2010-06-29

Provider Mailing Address Detail

Address 3399 E. Louise Dr.
City Meridian
State Idaho (ID)
Post Code 83642
Phone Number 2083643000
Fax Number 2083643191

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No M8489
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CI1633 ID RAILROAD MEDICARE
2354900 ID --

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FAQs about Boise Surgical Group

What is the unique 10-digit identifier code assigned to Boise Surgical Group by the Centers for Medicare & Medicaid Services?

The Boise Surgical Group has been issued the NPI (National Provider Identifier) 1871648352 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Boise Surgical Group's facilities are geographically located?

The facilities of Boise Surgical Group are physically situated at the following location: 3399 E. Louise Dr., Meridian, ID, 83642.

What is Boise Surgical Group's area of expertise and its corresponding taxonomy classification?

The Boise Surgical Group's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1871648352 to Boise Surgical Group?

The Centers for Medicare & Medicaid Services assigned the 1871648352 to Boise Surgical Group on 2007-01-24.

As of what date was the information regarding Boise Surgical Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Boise Surgical Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-06-29.

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