NPI age
19 years
Enumerated 2006-10-05
● Active Type 2 · Organization
Boise Basin Infertility & Gynecology, P.A.
Boise Basin Infertility & Gynecology, P.A. is 1 of 305 specialist organizations in Idaho.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Krueger
President
Last NPPES update
2008-05-15
Source: monthly bulk 2026-05
How this organization compares
Across 305 active specialist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
811 N 6th St
Boise, ID 837025545
Mailing address
811 N 6th St
Boise, ID 837025545
Authorized official
Philip M Krueger
President
📞 2083452006
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002515100 | |
| 05 (ID) | 002515101 | |
| 01 (ID) | DK093 | BLUE CROSS |
| 01 (ID) | 000010004456 | BLUE SHIELD |
| 05 (ID) | 002515102 |
Practice context
Single-site organization. Only one practice location on file.
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