institution
Idaho Center For Reproductive Medicine Pc
Reproductive Endocrinology Physician in Boise, Idaho
NPI 1063551174

Idaho Center For Reproductive Medicine Pc is a Reproductive Endocrinology Physician based in Boise, ID and is specialized in Reproductive Endocrinology. Idaho Center For Reproductive Medicine Pc practices in Boise, ID. The NPI Number for Idaho Center For Reproductive Medicine Pc is 1063551174 and holds a License No. M7577 (Idaho).

The current practice location address for Idaho Center For Reproductive Medicine Pc is 111 Main St, Boise, ID and can be reached out via phone at 208-342-5900 and via fax at 208-342-2088.

Location: 111 Main St, Boise, ID, 83702-7307
institution
Provider Profile Details
NPI Number
1063551174
Provider Name
Idaho Center For Reproductive Medicine Pc
Credential
Provider Entity Type
Organization
Address
111 Main St, Boise, ID, 83702-7307
Phone Number
208-342-5900
Fax Number
208-342-2088
Provider Enumeration Date
02/05/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8G189 01 ID BLUE CROSS CLINIC
513CO 01 ID BLUE CROSS DR FOULK
51292 01 ID BLUE CROSS DR SLATER
institution
Provider Business Practice Location Address Details
Address
111 Main St
City
State
Zip
83702-7307
Phone Number
208-342-5900
Fax Number
208-342-2088
person
Provider Business Mailing Address Details
Address
111 Main St
City
State
Zip
83702-7307
Phone Number
208-342-5900
Fax Number
208-342-2088
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Reproductive Endocrinology
Taxonomy
License No.
M7577 (Idaho)
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
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