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

Senior Doc Idaho PC

Organization Family Medicine Physician · NPI 1750961637

Senior Doc Idaho PC is a Family Medicine Physician in Nampa, Idaho. Registered with an NPI since 2021.

In the registry since
2021
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

4301 Garrity Blvd Ste 103
Nampa, ID 83687-9222
Phone: (855) 434-7763
Fax: (949) 281-5550
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1750961637
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Geiss — Owner/Doctor · (855) 434-7763
NPI enumeratedApril 13, 2021
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025
Mailing address5 Hutton Centre Dr Ste 950, Santa Ana, CA 92707-8714

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