SearchIdaho2085N0700X

Tyler Gasser, M.D

NPI 1427202373 · on the registry since 2008

Practice

Address
190 E Bannock St
Boise, ID 83712
Phone
(208) 381-2094
Organisation at this address
St. Lukes
Picu Associates, Llc
St. Luke'S Children'S
St. Luke'S Health System
Boise Pathology Group P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
695

Registry record

Primary taxonomy
2085N0700X
2085N0700X
Also registered as
2085R0202X
Licence states on file
AZ, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho