OrganizationActive
Boise Surgical Group
NPI 1871648352 · Surgery Physician · Meridian, ID
Provider details
- NPI number
- 1871648352
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kirsten Grunzke, Practice Administrator(208) 364-3000
- License
- M8489 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3399 E. Louise Dr.
#400
Meridian, ID 83642
Phone: (208) 364-3000
Fax: (208) 364-3191
Approximate (ZIP-level) locationGet directions
Mailing address
3399 E. Louise Dr.
Meridian, ID 83642
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2010-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.