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

Idaho Center for Reproductive Medicine PC

Organization Reproductive Endocrinology Physician · NPI 1063551174

Idaho Center for Reproductive Medicine PC is a Reproductive Endocrinology Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Main St Ste 100
Boise, ID 83702-7307
Phone: (208) 342-5900
Fax: (208) 342-2088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Reproductive Endocrinology Physician (primary) Taxonomy 207VE0102X · Licence M7577 (ID)
Reproductive Endocrinology Physician Taxonomy 207VE0102X · Licence M8614 (ID)

Record details

NPI number1063551174
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Genie Andrews — Bus Admin · (208) 342-5900
Other names Icrm Pc
NPI enumeratedFebruary 5, 2007
Last updated in NPPESAugust 22, 2020
Mailing address111 Main St, Suite 100, Boise, ID 83702-7307

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