HomeNPI Verification

NPI Verification

National Provider Identifier: 1790960961

Idaho Diabetes and Endocrine Associates, PA

Organization

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (2)

Specialist

Code: 174400000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Practice Address

13909 W. WAINWRIGHT DRIVE

BOISE, ID 837131969

Phone: 208-389-2213

NPI Enumeration Date

January 7, 2008

NPI Number

1790960961

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