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

Mountain States Medical Group PA

Organization Family Medicine Physician · NPI 1730272006

Mountain States Medical Group PA is a Family Medicine Physician in Boise, Idaho. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4809 Fairview Ave
Boise, ID 83706-2242
Phone: (208) 378-2840
Fax: (208) 323-9070
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1730272006
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard McChrystal — President · (208) 378-2840
NPI enumeratedOctober 1, 2006
Last updated in NPPESSeptember 15, 2008
Mailing addressPo Box 4236, Boise, ID 83711-4236

Other providers in Boise