NPI 1003919473
Irvin E Sackman, MD
Practice location
- Address
- 130 E Boise Ave, Boise, ID 83706
- Phone
- (208) 345-4066
- Fax
- (208) 345-4196
- Mailing address
- 190 E Bannock St, Boise, ID 83712-6241
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1003919473
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Sep 2006
- Record last updated
- 19 Aug 2012
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.