SearchIdaho101YM0800X

Jeremy Robertson

NPI 1497604912 · on the registry since 2026

Practice

Address
1910 University Dr
Boise, ID 83725
Phone
(208) 426-1459
Clinicians at this address
49

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-27

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