Evening Medical Clinic

NPI 1043412133 - Clinic/Center - 261QH0100X

NPI Details
NPI 1043412133
Enumeration Date 06/01/2007
Last Updated 07/16/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL P MICHAEL
Position OWNER
Phone (208) 878-3486
Fax (208) 878-2005
Practice Location
1252 BENNETT AVE
SUITE B
BURLEY ID, 83318, US
Phone (208) 878-3486
Fax (208) 878-2005
Business Location
1252 BENNETT AVE
SUITE B
BURLEY ID, 83318, US
Phone (208) 878-3486
Fax (208) 878-2005
Toxanomy
Taxonomy Code 261QH0100X
License State
License Number
Remove 1043412133 NPI Number
 

According to our database, Evening Medical Clinic NPI is 1043412133, taxonomy code is 261QH0100X Evening Medical Clinic physically located at 1252 Bennett Ave, Burley ID, 83318. NPI Number 1033115704 has the healthcare provider type.

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1043412133 NPI number is provided on an as is basis without warranty of any kind. 1043412133 is maintained by the National Plan & Provider Enumeration System. The contents of Evening Medical Clinic are for informational purposes only.