OrganizationActive
Mary E River MD PA
NPI 1295921237 · Neurological Surgery Physician · Boise, ID
Provider details
- NPI number
- 1295921237
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary River, Owner(208) 381-3699
- License
- M8111 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
222 N 2nd St
Suite 103
Boise, ID 83702-6109
Phone: (208) 381-3699
Fax: (208) 381-3697
Approximate (ZIP-level) locationGet directions
Mailing address
222 N 2nd St
Boise, ID 83702-6109
Registry dates
- Enumerated
- 2007-09-24
- Last updated
- 2007-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.