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Organization

BOISE BRAIN AND BODY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD ANTON (SOLE MEMBER)
(440) 465-0568
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

Other

Enumeration date
07/09/2025
Last updated
04/29/2026
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