NPI 1720423429 · live from the CMS NPI Registry
Idaho Neurology PLLC
Psychiatry & Neurology, Neurology in Boise, ID. National Provider Identifier 1720423429, active.
NPI record
| NPI | 1720423429 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 901 N Curtis Rd, Suite 101, Boise, ID 83706 |
| Practice phone | 208-608-5825 |
| Mailing address | 2825 Fort Missoula Rd Ste 121, Missoula, MT 59804 |
| Enumerated | May 8, 2013 |
| Last updated | June 5, 2019 |
| Authorized official | Thomas Swanson, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | M11896 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.