Organization
BOISE GASTROENTEROLOGY ASSOCIATES
Active
Parent organization
BOISE GASTROENTEROLOGY ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOISE GASTROENTEROLOGY ASSOCIATES
Authorized official
DR. ROBERT F GIBSON M.D. (PHYSICIAN)
(208) 489-1900
Entity
Organization
Contact information
Practice address
6259 W EMERALD ST, BOISE, ID 83704-8731
(208) 489-1900
(208) 375-5286
Mailing address
6259 W EMERALD ST, BOISE, ID 83704-8731
(208) 489-1900
(208) 375-5286
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
11/19/2007
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