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

Functional and Integrative Medicine of Idaho PA

Organization Family Medicine Physician · NPI 1740524701

Functional and Integrative Medicine of Idaho PA provides Family Medicine Physician services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
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

3858 N Garden Center Way Ste 100
Boise, ID 83703-5008 Not confirmed with CMS for 11 years — call before visiting
Phone: (208) 385-7711
Fax: (208) 385-0346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M4631 (ID)

Record details

NPI number1740524701
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gail Eberharter — President · (208) 863-1399
NPI enumeratedNovember 15, 2012
Last updated in NPPESJanuary 29, 2015
Mailing address2905 W Jordan St, Boise, ID 83702-2134

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