Organization
IDAHO GASTROENTEROLOGY ASSOCIATES, LLP
Active
Organization
IDAHO GASTROENTEROLOGY ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BUTTERFIELD (CREDENTIALING MANAGER)
(208) 489-1431
Entity
Organization
Contact information
Practice address
425 W BANNOCK ST, BOISE, ID 83702-6035
(208) 343-1702
(208) 342-7042
Mailing address
425 W BANNOCK ST, BOISE, ID 83702-6035
(208) 343-1702
(208) 342-7042
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002799000
—
ID
Enumeration date
09/15/2005
Last updated
01/23/2026
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