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

Pediatric Neurosurgry of Idaho PC

Organization Neurological Surgery Physician · NPI 1750337978

Pediatric Neurosurgry of Idaho PC is a Neurological Surgery Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
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

100 E Idaho St
Boise, ID 83712-6270
Phone: (208) 381-7360
Fax: (208) 381-7361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence M8385 (ID)

Record details

NPI number1750337978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Cherny — Owner · (208) 381-7360
NPI enumeratedMay 26, 2006
Last updated in NPPESMay 26, 2008
Mailing address6140 Curtisian Ave, Suite 400, Boise, ID 83704-8880

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