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

Granite Mountain Surgery PLLC

Organization Surgery Physician · NPI 1477359909

Granite Mountain Surgery PLLC is a Surgery Physician in Boise, Idaho. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8950 W Emerald St Ste 195
Boise, ID 83704-8296
Phone: (208) 999-3034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1477359909
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amber Elliott — Owner · (208) 412-4530
NPI enumeratedFebruary 24, 2025
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address8950 W Emerald St Ste 195, Boise, ID 83704-8296

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