Functional and Integrative Medicine of Idaho PA
Functional and Integrative Medicine of Idaho PA is a Family Medicine Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2012.
- Licensed in
- ID
- In the registry since
- 2012
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3858 N Garden Center Way Ste 100Boise, ID 83703-5008
Phone: (208) 385-7711
Fax: (208) 385-0346
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence M4631 (ID) |
|---|
Record details
| NPI number | 1740524701 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gail Eberharter — President · (208) 863-1399 |
| NPI enumerated | November 15, 2012 |
| Last updated in NPPES | January 29, 2015 |
| Mailing address | 2905 W Jordan St, Boise, ID 83702-2134 |
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Functional Medicine of Idaho PC
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