NPI 1114938909

Boise Minor Emergency Center PA

Organisation General Practice Physician Boise, ID

Practice location

Address: 2993 N Cole Rd, Boise, ID 83704-5977
Phone: (208) 378-0400
Fax: (208) 378-7529

Authorised official

Name: Gary Canova
Title: Owner
Phone: (208) 378-0400

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Idaho →

Registry record

NPI: 1114938909
Entity type: Organization
NPI issued: 10 Aug 2006
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.