NPI 1609885870
N S Support LLC
Practice location
- Address
- 6140 W Curtisian Ave Suite 400, Boise, ID 83704
- Phone
- (208) 367-3500
- Fax
- (208) 367-3500
- Mailing address
- 6140 W Curtisian Ave STE 400, Boise, ID 83704-8907
Authorised official
- Name
- Kimberly Rediker
- Title
- Credentialing Specialist
- Phone
- (208) 327-5631
Registered specialties (2)
Neurological Surgery Physician
Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Registry record
- NPI
- 1609885870
- Entity type
- Organization
- NPI issued
- 6 Aug 2006
- Record last updated
- 23 Feb 2021
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.