Whalio Doctors

NPI 1609885870

N S Support LLC

Organisation Neurological Surgery Physician Boise, ID

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
Allopathic & Osteopathic Physicians Taxonomy 207T00000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Allopathic & Osteopathic Physicians Taxonomy 2081P2900X

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.