NPI 1487602298

Boise Anesthesia, P a

Organisation Anesthesiology Physician Boise, ID

Practice location

Address: 1055 N Curtis Rd, Boise, ID 83706-1352
Phone: (208) 367-6416
Mailing address: PO Box 3750, Salt Lake City, UT 84110-3750

Authorised official

Name: Matthew Bryan Fowler
Title: President
Phone: (208) 367-6416

Registered specialties (2)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X

Other Anesthesiology providers in Idaho →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence N/A

Other Nurse Anesthetist, Certified Registered providers in Idaho →

Registry record

NPI: 1487602298
Entity type: Organization
NPI issued: 4 May 2006
Record last updated: 14 Jan 2022

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.