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

Mountain States Oncology Group

Organization Specialist · NPI 1386750859

Mountain States Oncology Group is a Specialist in Boise, Idaho. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

100 E Idaho St
Boise, ID 83712-6223
Phone: (208) 343-3223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1386750859
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joni Sullivan — Business Adminstrator · (208) 343-3223
NPI enumeratedAugust 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1809, Boise, ID 83701-1809

Other providers in Boise