St Clair Specialty Physicians
St Clair Specialty Physicians provides Nephrology Physician services in Boise, Idaho. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
5610 Gage St Ste ABoise, ID 83706 Not confirmed with CMS for 15 years — call before visiting
Phone: (208) 367-3370
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
| Nephrology Physician (primary) | Taxonomy 207RN0300X |
|---|
Record details
| NPI number | 1063719292 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Provenzano — President/Partner · (313) 886-8787 |
| NPI enumerated | February 24, 2011 |
| Last updated in NPPES | February 24, 2011 |
| Mailing address | 45640 Schoenherr Road, Shelby Twp, MI 48315 |
Other providers in Boise
-
Dr. Nicholas C Hunt I, MD
5610 W Gage St Ste A, Boise, ID 83706-1349 · (208) 501-8955
-
Idaho Nephrology Associates, LLC
5610 Gage St Ste A, Boise, ID 83706-1349 · (208) 367-3370
-
Javier Jaramillo Morales, MD
5610 W Gage St Ste A, Boise, ID 83706-1332 · (208) 501-8955
-
Thomas J Pintar, MD
5610 W Gage St Ste A, Boise, ID 83706-1349 · (208) 501-8955
-
St Michael Nephrology, PLLC
1674 S Loggers Pond Pl Apt 14, Boise, ID 83706-7517 · (986) 200-8202
-
Dr. Jon Parker Wagnild, MD
5610 Gage St Ste A, Boise, ID 83706-1349 · (208) 367-3370