HomeNPI Verification

NPI Verification

National Provider Identifier: 1669231247

John Thomas Bosak, DO

Individual Provider

Credentials

DO

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

500 W FORT ST # 111R

BOISE, ID 837024599

Phone: 208-422-1000

NPI Enumeration Date

March 18, 2024

NPI Number

1669231247

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
John Bosak, DO - NPI 1669231247 | Provider Verification | HormoneMap