Sparkmd
Sparkmd is a Primary Care Clinic/Center in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2015.
- Licensed in
- ID
- In the registry since
- 2015
Practice location Address checks out
302 W Idaho StBoise, ID 83702-6039
Phone: (208) 369-4590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence M-10803 (ID) |
|---|
Record details
| NPI number | 1427443613 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Julie Gunther — Owner, Physician · (208) 369-4590 |
| Other names | Sparkmd |
| NPI enumerated | April 3, 2015 |
| Last updated in NPPES | April 21, 2015 |
| Mailing address | 302 W Idaho St, Boise, ID 83702-6039 |
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