Emergency Medicine of Idaho

NPI #1205875275 in Meridian, Idaho

Provider Information

NPI Number: 1205875275
Entity Type: Organization
Organization Name: Emergency Medicine of Idaho
Primary Specialty: Emergency Medicine
Enumeration Date: Jun 5, 2006
Last Updated: Feb 21, 2025

Practice Location

Address: 3080 E GENTRY WAY STE 210
City: Meridian
State: Idaho
ZIP Code: 83642-3013
Phone: (208) 615-8201

Authorized Official

Name: JOHN DAVID BISHOP
Title: EXECUTIVE DIRECTOR
Phone: (208) 615-8201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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