Unified Healthcare Of Idaho Llc

NPI 1588041537 - Clinic/Center - 261QH0100X

NPI Details
NPI 1588041537
Enumeration Date 04/29/2015
Last Updated 05/17/2016
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name THOMAS THOMAS
Position OWNER
Phone (208) 529-3967
Fax (208) 522-0088
Practice Location
3360 WASHINGTON PKWY STE 2
IDAHO FALLS ID, 83404-8333, US
Phone (208) 529-3967
Fax (208) 522-0088
Business Location
3360 WASHINGTON PKWY STE 2
IDAHO FALLS ID, 83404-8333, US
Phone (208) 529-3967
Fax
Toxanomy
Taxonomy Code 261QH0100X
License State
License Number
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According to our database, Unified Healthcare Of Idaho Llc NPI is 1588041537, taxonomy code is 261QH0100X Unified Healthcare Of Idaho Llc physically located at 3360 Washington Pkwy Ste 2, Idaho Falls ID, 83404-8333. NPI Number 1033115704 has the healthcare provider type.

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1588041537 NPI number is provided on an as is basis without warranty of any kind. 1588041537 is maintained by the National Plan & Provider Enumeration System. The contents of Unified Healthcare Of Idaho Llc are for informational purposes only.