OrganizationActive
Idaho Joint and Spine, PC
NPI 1891104014 · Medical Specialty Clinic/Center · Boise, ID
Provider details
- NPI number
- 1891104014
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- James Whitaker, President
- License
- O-0794 (ID)
Practice location
9510 W Fairview Ave
Boise, ID 83704-8103
Phone: (208) 322-5922
Fax: (208) 323-1386
Mailing address
9510 W Fairview Ave
Boise, ID 83704-8103
Registry dates
- Enumerated
- 2014-08-13
- Last updated
- 2014-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.