Idaho Minor Emergency And Family Practice Pa

NPI 1205996063 - Clinic/Center - 261Q00000X

NPI Details
NPI 1205996063
Enumeration Date 12/11/2006
Last Updated 03/27/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RAYMOND PAUL RAYMOND
Position OWNER, CEO
Phone (208) 514-4400
Fax (208) 514-4404
Practice Location
3041 EAST COPPER POINTE DRIVE
MERIDIAN ID, 83642, US
Phone (208) 514-4400
Fax (208) 514-4404
Business Location
3041 EAST COPPER POINTE DRIVE
MERIDIAN ID, 83642, US
Phone (208) 514-4400
Fax (208) 514-4404
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, Idaho Minor Emergency And Family Practice Pa NPI is 1205996063, taxonomy code is 261Q00000X Idaho Minor Emergency And Family Practice Pa physically located at 3041 East Copper Pointe Drive, Meridian ID, 83642. NPI Number 1033115704 has the healthcare provider type.

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1205996063 NPI number is provided on an as is basis without warranty of any kind. 1205996063 is maintained by the National Plan & Provider Enumeration System. The contents of Idaho Minor Emergency And Family Practice Pa are for informational purposes only.