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

Idaho Joint and Spine, PC

Organization Medical Specialty Clinic/Center · NPI 1891104014

Idaho Joint and Spine, PC is a Medical Specialty Clinic/Center in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014
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

9510 W Fairview Ave
Boise, ID 83704-8103
Phone: (208) 322-5922
Fax: (208) 323-1386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence O-0794 (ID)

Record details

NPI number1891104014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Whitaker — President · (208) 322-5922
NPI enumeratedAugust 13, 2014
Last updated in NPPESAugust 13, 2014
Mailing address9510 W Fairview Ave, Boise, ID 83704-8103

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