NPI 1184865883

Optimal Heatlh Medical Institure

Organisation Preventive Medicine/Occupational Environmental Medicine Physician Boise, ID

Practice location

Address: 3224 N Maple Grove Rd, Boise, ID 83704-4214
Phone: (208) 495-3688
Fax: (208) 475-4924

Authorised official

Name: Ralph M Sutherlin
Title: Owner/Physician
Phone: (208) 495-3688

Registered specialties

Preventive Medicine/Occupational Environmental Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0500X Licence 0-264 (ID)

Other Preventive Medicine providers in Idaho →

Registry record

NPI: 1184865883
Entity type: Organization
NPI issued: 10 Mar 2009
Record last updated: 10 Mar 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.