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Organization
BOISE BRAIN AND BODY LLC
Active
Organization
BOISE BRAIN AND BODY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD A ANTON (OWNER)
(818) 861-6481
Entity
Organization
Contact information
Practice address
711 N CURTIS RD, BOISE, ID 83706-1445
(208) 605-3000
Mailing address
6568 S FEDERAL WAY # 238, BOISE, ID 83716-9277
(818) 861-6481
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
06/17/2026
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