IndividualActive
Benjamin Tippets, D.O.
NPI 1689866451 · Pediatric Pulmonology Physician · Boise, ID
Provider details
- NPI number
- 1689866451
- Entity type
- Individual
- Primary specialty
- Pediatric Pulmonology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- O0573 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 E Idaho St
Suite 200
Boise, ID 83712-6267
Phone: (208) 381-7011
Fax: (208) 381-9013
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2007-08-15
- Last updated
- 2012-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.