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

Idaho Center for Reproductive Medicine PC

Organization Reproductive Endocrinology Physician · NPI 1063551174

Idaho Center for Reproductive Medicine PC provides Reproductive Endocrinology Physician services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Main St Ste 100
Boise, ID 83702-7307
Phone: (208) 342-5900
Fax: (208) 342-2088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Reproductive Endocrinology Physician (primary) Taxonomy 207VE0102X · Licence M7577 (ID)
Reproductive Endocrinology Physician Taxonomy 207VE0102X · Licence M8614 (ID)

Record details

NPI number1063551174
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Genie Andrews — Bus Admin · (208) 342-5900
Other names Icrm Pc
NPI enumeratedFebruary 5, 2007
Last updated in NPPESAugust 22, 2020
Mailing address111 Main St, Suite 100, Boise, ID 83702-7307

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