OrganizationActive
Functional Medicine Center of Boise LLC
NPI 1710477310 · Primary Care Clinic/Center · Nampa, ID
Provider details
- NPI number
- 1710477310
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Spencer Zimmerman, Owner(801) 623-9877
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
232 2nd St S
Nampa, ID 83651
Phone: (801) 623-9877
Approximate (ZIP-level) locationGet directions
Mailing address
232 2nd St S
Nampa, ID 83651-3709
Registry dates
- Enumerated
- 2018-05-18
- Last updated
- 2018-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.