Forrest Pecha, MS, ATC, LAT, OTC

NPI 1639372709 · on the registry since 2007

Practice

Address: 1109 W Myrtle St
Suite 200
Boise, ID 83702
Phone: (208) 489-4331
Organisation at this address: Boise Dialysis Partners Ii, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Also registered as: 246ZS0410X
2255A2300X
Licence states on file: GA, ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-06-09

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