NPI 1003140724

Premium Support Services INC

Organisation Emergency Medicine Physician Boise, ID

Practice location

Address: 6568 S Federal Way STE 311, Boise, ID 83716-9277
Phone: (208) 284-0337

Authorised official

Name: Paul Rumore
Title: Ceo
Phone: (208) 284-0337

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence M5928 (ID)

Other Emergency Medicine providers in Idaho →

Registry record

NPI: 1003140724
Entity type: Organization
NPI issued: 28 Sep 2009
Record last updated: 28 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.