| Idaho Neurology Pllc | |
|
901 N Curtis Rd Suite 101 Boise ID 83706-1338 | |
| (208) 608-5825 | |
| (208) 287-3690 |
| Full Name | Idaho Neurology Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 901 N Curtis Rd, Boise, Idaho |
| Authorized Official Name and Position | Thomas Swanson (OWNER) |
| Authorized Official Contact | 4062742295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Neurology Pllc 2825 Fort Missoula Rd Ste 121 Missoula MT 59804-7403 Ph: () - | Idaho Neurology Pllc 901 N Curtis Rd Suite 101 Boise ID 83706-1338 Ph: (208) 608-5825 |
| NPI Number | 1720423429 |
|---|---|
| Provider Enumeration Date | 05/08/2013 |
| Last Update Date | 06/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720423429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | M11896 (Idaho) | Primary |
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