Clinic At Eagle Llc Valid NPI
Organization · Family Medicine Physician · Eagle, ID
- NPI
- 1306807441
- Type
- Organization (Type 2)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- Enumerated
- 2006-03-29
- Last updated
- 2010-07-27
Practice location
600 E State St, Suite 200
Eagle, ID 83616-6081
(208) 939-2237