Quik-med Health Clinic, Pllc

NPI 1336526771 - Clinic/Center - 261Q00000X

NPI Details
NPI 1336526771
Enumeration Date 05/06/2015
Last Updated 11/02/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BETTY ANNE BETTY
Position RN
Phone (208) 946-5100
Fax
Practice Location
104 E 4TH AVE
CLARK FORK ID, 83811, US
Phone (208) 946-5100
Fax
Business Location
PO BOX 567
CLARK FORK ID, 83811-0567, US
Phone (208) 946-5100
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, Quik-med Health Clinic, Pllc NPI is 1336526771, taxonomy code is 261Q00000X Quik-med Health Clinic, Pllc physically located at 104 E 4th Ave, Clark Fork ID, 83811. NPI Number 1033115704 has the healthcare provider type.

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1336526771 NPI number is provided on an as is basis without warranty of any kind. 1336526771 is maintained by the National Plan & Provider Enumeration System. The contents of Quik-med Health Clinic, Pllc are for informational purposes only.