Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boise Pathology Group PA

Organization Cytopathology Physician · NPI 1063466225

Boise Pathology Group PA is a Cytopathology Physician in Boise, Idaho. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatopathology (Pathology) Physician (primary) Taxonomy 207ZD0900X
Cytopathology Physician Taxonomy 207ZC0500X
Hematology (Pathology) Physician Taxonomy 207ZH0000X
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X

Record details

NPI number1063466225
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stillinger — Secretary-Treasurer · (208) 381-2367
NPI enumeratedMay 20, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 9589, Boise, ID 83707-4589

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