NPI 1063551174

Idaho Center for Reproductive Medicine PC

Organisation Reproductive Endocrinology Physician Boise, ID

Practice location

Address: 111 Main St Suite 100, Boise, ID 83702-7307
Phone: (208) 342-5900
Fax: (208) 342-2088

Authorised official

Name: Genie T Andrews
Title: Bus Admin
Phone: (208) 342-5900

Registered specialties (2)

Reproductive Endocrinology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VE0102X Licence M7577 (ID)

Other Obstetrics & Gynecology providers in Idaho →

Reproductive Endocrinology Physician

Allopathic & Osteopathic Physicians Taxonomy 207VE0102X Licence M8614 (ID)

Registry record

NPI: 1063551174
Entity type: Organization
NPI issued: 5 Feb 2007
Record last updated: 22 Aug 2020

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.