OrganizationActive
Gem State Radiology LLP
NPI 1083661508 · Diagnostic Radiology Physician · Boise, ID
Provider details
- NPI number
- 1083661508
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wayne Baldwin, Executive Director(208) 384-9060
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1055 N Curtis Rd
Boise, ID 83706-1352
Phone: (208) 367-2161
Approximate (ZIP-level) locationGet directions
Mailing address
877 W Main St Ste 603
Boise, ID 83702-6070
Registry dates
- Enumerated
- 2006-05-29
- Last updated
- 2023-10-31
- Certified
- 2023-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.