Bridgeway Health Services, Llc

NPI 1073811097 - Clinic/Center - 261QM0801X

NPI Details
NPI 1073811097
Enumeration Date 03/01/2011
Last Updated 03/07/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name GRANT GRANT
Position OWNER
Phone (208) 246-0123
Fax (208) 246-0125
Practice Location
1032 S BRIDGE WAY PL
EAGLE ID, 83616-6099, US
Phone (208) 246-0123
Fax (208) 246-0125
Business Location
1032 S BRIDGE WAY PL
EAGLE ID, 83616-6099, US
Phone (208) 246-0123
Fax (208) 246-0125
Toxanomy
Taxonomy Code 261QM0801X
License State Idaho
License Number M7357
Remove 1073811097 NPI Number
 

According to our database, Bridgeway Health Services, Llc NPI is 1073811097, taxonomy code is 261QM0801X and license number is M7357, license state is located at Idaho. Bridgeway Health Services, Llc physically located at 1032 S Bridge Way Pl, Eagle ID, 83616-6099. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1073811097 NPI number is provided on an as is basis without warranty of any kind. 1073811097 is maintained by the National Plan & Provider Enumeration System. The contents of Bridgeway Health Services, Llc are for informational purposes only.