Idaho Diabetes and Endocrine Associates, PA
Idaho Diabetes and Endocrine Associates, PA is a Specialist in Boise, Idaho. Registered with an NPI since 2008.
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13909 W Wainwright DrBoise, ID 83713-1969
Phone: (208) 389-2213
Fax: (208) 389-4659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Endocrinology, Diabetes & Metabolism Physician (primary) | Taxonomy 207RE0101X |
|---|---|
| Specialist | Taxonomy 174400000X |
Record details
| NPI number | 1790960961 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theodore Roosevelt — President · (208) 389-2213 |
| Other names | Idaho Diabetes & Endocrine Associates, Pa |
| NPI enumerated | January 7, 2008 |
| Last updated in NPPES | May 18, 2022 |
| Certification date | May 18, 2022 |
| Mailing address | 13909 W. Wainwright Drive, Boise, ID 83713-1969 |
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