Phillip Imperio
Phillip Imperio is a Physician Assistant in Boise, Idaho. Qualified in 2024, 2 years ago. Registered with an NPI since 2024.
- Years since qualifying
- 2
- In the registry since
- 2024
Practice location Address checks out
633 N 4th StBoise, ID 83702-4510
Phone: (208) 342-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|
Record details
| NPI number | 1790504959 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 5, 2024 |
| Last updated in NPPES | May 13, 2025 |
| Certification date | May 13, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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