Individual
SCOTT SORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 302-4200
(208) 302-4255
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(082) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
DO210708
OR
2084N0400X
Neurology Physician
Primary
O-1969
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
05/28/2024
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