| Boise Psychiatric Clinic | |
|
1471 Shoreline Dr Suite 119 Boise ID 83702-6879 | |
| (208) 345-2630 | |
| (208) 345-6504 |
| Full Name | Boise Psychiatric Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1471 Shoreline Dr, Boise, Idaho |
| Authorized Official Name and Position | Michael E. Estess (PRESIDENT) |
| Authorized Official Contact | 2083452630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boise Psychiatric Clinic 1471 Shoreline Dr Suite 119 Boise ID 83702-6879 Ph: (208) 345-2630 | Boise Psychiatric Clinic 1471 Shoreline Dr Suite 119 Boise ID 83702-6879 Ph: (208) 345-2630 |
| NPI Number | 1609078104 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609078104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | M-3173 (Idaho) | Primary |
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