Doctors Clinic Of Elmore County Pllc

NPI 1063578664 - Physician Assistant - 363A00000X

NPI Details
NPI 1063578664
Enumeration Date 12/28/2006
Last Updated 02/25/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LAYNE D LAYNE
Position PHYSICIAN
Phone (208) 587-1500
Fax (208) 587-3180
Practice Location
2000 AMERICAN LEGION BLVD
MOUNTAIN HOME ID, 83647-3138, US
Phone (208) 587-1500
Fax (208) 587-3180
Business Location
2000 AMERICAN LEGION BLVD
MOUNTAIN HOME ID, 83647-3138, US
Phone (208) 587-1500
Fax (208) 587-3180
Toxanomy
Taxonomy Code 363A00000X
License State Idaho
License Number PA-265
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According to our database, Doctors Clinic Of Elmore County Pllc NPI is 1063578664, taxonomy code is 363A00000X and license number is PA-265, license state is located at Idaho. Doctors Clinic Of Elmore County Pllc physically located at 2000 American Legion Blvd, Mountain Home ID, 83647-3138. NPI Number 1033115704 has the healthcare provider type.

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1063578664 NPI number is provided on an as is basis without warranty of any kind. 1063578664 is maintained by the National Plan & Provider Enumeration System. The contents of Doctors Clinic Of Elmore County Pllc are for informational purposes only.