SearchIdaho207Q00000X

Ali Sup, DO

NPI 1427670157 · on the registry since 2020

Practice

Address
3165 E Greenhurst Rd
Nampa, ID 83686
Phone
(208) 463-7300
Clinicians at this address
8

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-23

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