OrganizationActive
Center for Colorectal Care, LLC
NPI 1740319409 · Surgery Physician · Boise, ID
Provider details
- NPI number
- 1740319409
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Olson, Manager(770) 823-1668
- License
- M9825 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
333 N 1st St
Suite 130
Boise, ID 83702-6100
Phone: (770) 823-1668
Approximate (ZIP-level) locationGet directions
Mailing address
333 N 1st St
Boise, ID 83702-6100
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.