Urgent Care Of Jerome

NPI 1538578687 - Family Medicine - 207Q00000X

NPI Details
NPI 1538578687
Enumeration Date 08/02/2014
Last Updated 12/24/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KYLE D KYLE
Position CO-OWNER
Phone (208) 678-6996
Fax (208) 678-6866
Practice Location
133 W AVENUE A
SUITE B
JEROME ID, 83338-2630, US
Phone (208) 678-6996
Fax (208) 678-6866
Business Location
PO BOX 773
JEROME ID, 83338-5483, US
Phone (208) 678-6996
Fax (208) 678-6866
Toxanomy
Taxonomy Code 207Q00000X
License State Idaho
License Number O-154
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According to our database, Urgent Care Of Jerome NPI is 1538578687, taxonomy code is 207Q00000X and license number is O-154, license state is located at Idaho. Urgent Care Of Jerome physically located at 133 W Avenue A, Jerome ID, 83338-2630. NPI Number 1033115704 has the healthcare provider type.

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1538578687 NPI number is provided on an as is basis without warranty of any kind. 1538578687 is maintained by the National Plan & Provider Enumeration System. The contents of Urgent Care Of Jerome are for informational purposes only.