Caldwell Immediate Care

NPI 1154709863 - Clinic/Center - 261Q00000X

NPI Details
NPI 1154709863
Enumeration Date 05/13/2015
Last Updated 05/26/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JONATHAN BRUCE JONATHAN
Position OWNER/PROVIDER
Phone (208) 320-0258
Fax
Practice Location
2701 CARRIAGE WAY
TWIN FALLS ID, 83301-5257, US
Phone (208) 320-0258
Fax
Business Location
2701 CARRIAGE WAY
TWIN FALLS ID, 83301-5257, US
Phone (208) 320-0258
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Idaho
License Number SPHY-345
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According to our database, Caldwell Immediate Care NPI is 1154709863, taxonomy code is 261Q00000X and license number is SPHY-345, license state is located at Idaho. Caldwell Immediate Care physically located at 2701 Carriage Way, Twin Falls ID, 83301-5257. NPI Number 1033115704 has the healthcare provider type.

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1154709863 NPI number is provided on an as is basis without warranty of any kind. 1154709863 is maintained by the National Plan & Provider Enumeration System. The contents of Caldwell Immediate Care are for informational purposes only.