Functional Medicine Center of Boise LLC

NPI #1710477310 in Nampa, Idaho

Provider Information

NPI Number
1710477310
Entity Type
Organization
Organization Name
Functional Medicine Center of Boise LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
May 18, 2018
Last Updated
Jul 12, 2018

Practice Location

Address
232 2ND ST S
City
Nampa
State
Idaho
ZIP Code
83651
Phone
(801) 623-9877

Authorized Official

Name
SPENCER ZIMMERMAN
Title
OWNER
Phone
(801) 623-9877

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