| Boise Arthritis and Immunology | |
|
901 N Curtis Rd Ste 404 Boise ID 83706-1342 | |
| (208) 247-5050 | |
| Not Available |
| Full Name | Boise Arthritis and Immunology |
|---|---|
| Speciality | Internal Medicine |
| Location | 901 N Curtis Rd Ste 404, Boise, Idaho |
| Authorized Official Name and Position | Arshabh Sarda (AUTHORIZED INDIVIDUAL) |
| Authorized Official Contact | 2082475050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boise Arthritis and Immunology 3507 N University Ave Ste 100 Provo UT 84604-4479 | Boise Arthritis and Immunology 901 N Curtis Rd Ste 404 Boise ID 83706-1342 Ph: (208) 247-5050 |
| NPI Number | 1942098074 |
|---|---|
| Provider Enumeration Date | 04/29/2025 |
| Last Update Date | 04/29/2025 |
| Certification Date | 04/29/2025 |
| Medicare PECOS PAC ID | 5294247581 |
|---|---|
| Medicare Enrollment ID | O20250623002996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942098074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 207RA0201X | Internal Medicine - Allergy & Immunology | () | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | () | Primary |
| Provider Name | Douglas K Mcvey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841318276 PECOS PAC ID: 3476641143 Enrollment ID: I20071128000855 |
| Provider Name | Crystal Shanice Flores-alamo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932889318 PECOS PAC ID: 1052757242 Enrollment ID: I20240311001311 |
| Provider Name | Laurel Kate Defoggi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356195200 PECOS PAC ID: 0648713891 Enrollment ID: I20240617002564 |
| Provider Name | James Blair Steier |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255402798 PECOS PAC ID: 2769440056 Enrollment ID: I20250623003259 |
| Provider Name | Tyler Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528542644 PECOS PAC ID: 3476899865 Enrollment ID: I20260409001026 |
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