Gen State Integrative Medicine
Gen State Integrative Medicine is a Family Medicine Physician in Meridian, Idaho. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
1500 E Heritage Park Ln Ste 150 Ste 150Meridian, ID 83646
Phone: (208) 202-7247
Fax: (208) 202-7246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1790609477 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Petrie — Owner/President · (208) 365-7131 |
| NPI enumerated | August 6, 2026 |
| Last updated in NPPES | August 6, 2026 |
| Mailing address | 1500 East Heritage Park Lane, Suite 150, Suite 150, Meridian, ID 83646 |
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