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NPI 1831621333

IndividualActive

Heiko De Riese, M.D.

NPI 1831621333 · Psychiatry Physician · Boise, ID

Provider details

NPI number: 1831621333
Entity type: Individual
Primary specialty: Psychiatry PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: Yes
License: M-16773 (ID)

Practice location

403 S 11th St Ste 210

Boise, ID 83702-6968

Phone: (208) 381-6005

Fax: (208) 381-6006

More ID providers

Mailing address

190 E Bannock St

Boise, ID 83712-6241

Registry dates

Enumerated: 2017-04-03
Last updated: 2024-10-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Heiko De Riese, M.D. — NPI 1831621333, Boise, ID | NPI Central