# BOISE VALLEY ASTHMA & ALLERGY PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Boise Valley Asthma And Allergy Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215061734
- **Authorized official:** MARYANN WAUGH (INSURANCE/CREDENTIALING ADMIN)
- **Authorized official phone:** (208) 378-0080

## Contact information

- **Practice address:** 901 N CURTIS RD STE 100, BOISE, ID 83706-1339
- **Practice address phone:** (208) 378-0080
- **Practice address fax:** (208) 378-0259
- **Mailing address:** 901 N CURTIS RD, SUITE 100, BOISE, ID 83706-1394
- **Mailing address phone:** (208) 378-0080
- **Mailing address fax:** (208) 378-0259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 05/08/2026