Idaho Pediatric Gastroenterology Pa

LBN: Idaho Pediatric Gastroenterology Pa
Idaho Pediatric Gastroenterology Pa is an health care organization with primary practice located at 100 E Idaho St Suite 316, Boise ID 83712-6223. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Idaho Pediatric Gastroenterology Pa can be contacted via phone (208) 381-7310, or through Thompson, Henry R via phone (208) 381-7310.

Contact Information

Primary practice address
100 E Idaho St Suite 316 Boise ID 83712-6223
Phone: (208) 381-7310
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Henry R Doctor of Medicine (MD)
Phone: (208) 381-7310

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M7673 Idaho

Profile Details

NPI number 1780871467
LBN Legal business name Idaho Pediatric Gastroenterology Pa
DBA Doing business as
Authorized official Thompson, Henry R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2007
Last updated Sep 26th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers