Intermountian Pediatric Clinic PA
Intermountian Pediatric Clinic PA provides Family Medicine Physician services in Boise, Idaho. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7722 W Ustick RdBoise, ID 83704-5845
Phone: (208) 322-1325
Fax: (208) 327-0393
Show map & directions
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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 |
|---|
Record details
| NPI number | 1093551319 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karen Jambura — Office Manager · (208) 322-1325 |
| NPI enumerated | July 5, 2024 |
| Last updated in NPPES | July 5, 2024 |
| Certification date | July 5, 2024 |
| Mailing address | 7722 W Ustick Rd, Boise, ID 83704-5845 |
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