SearchIdaho175T00000X

Pascal Bisimwa

NPI 1508729120 · on the registry since 2025 · sole proprietor

Practice

Address
9618 W Mossywood Dr
Boise, ID 83709
Phone
(208) 246-9902

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-09

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