Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Boise Minor Emergency Center PA

Organization General Practice Physician · NPI 1114938909

Boise Minor Emergency Center PA provides General Practice Physician services in Boise, Idaho. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2993 N Cole Rd
Boise, ID 83704-5977
Phone: (208) 378-0400
Fax: (208) 378-7529
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1114938909
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Canova — Owner · (208) 378-0400
NPI enumeratedAugust 10, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2993 N Cole Rd, Boise, ID 83704-5977

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