OrganizationActive
Digestive Health Clinic LLC
NPI 1750498333 · Gastroenterology Physician · Boise, ID
Provider details
- NPI number
- 1750498333
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Mallory, Manager(208) 489-1900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6259 W Emerald St
Boise, ID 83704-8731
Phone: (208) 489-1900
Fax: (208) 375-5286
Approximate (ZIP-level) locationGet directions
Mailing address
6259 W Emerald St
Boise, ID 83704-8731
Registry dates
- Enumerated
- 2006-08-23
- Last updated
- 2020-07-24
- Certified
- 2020-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.