SearchIdaho363A00000X

Mitchell Bliss, PA

NPI 1760144687 · on the registry since 2021

Practice

Address
6165 W Emerald St
Boise, ID 83704
Phone
(208) 302-3900
Fax
(208) 302-3955
Organisation at this address
Saint Alphonsus Regional Medical Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Additional practice sites

  • 6051 W Emerald St, Boise, ID
  • 4971 W Overland Rd, Boise, ID

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-12

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