Boise Gastroenterology Associates

NPI #1023228558 in Boise, Idaho

Provider Information

NPI Number
1023228558
Entity Type
Organization
Organization Name
Boise Gastroenterology Associates
Subpart
Yes (part of a larger organization)
Parent Organization
BOISE GASTROENTEROLOGY ASSOCIATES
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
May 23, 2007
Last Updated
Nov 19, 2007

Practice Location

Address
6259 W EMERALD ST
City
Boise
State
Idaho
ZIP Code
83704-8731
Phone
(208) 489-1900

Authorized Official

Name
DR. ROBERT F GIBSON, M.D.
Title
PHYSICIAN
Phone
(208) 489-1900

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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