Idaho Center For Regenerative Medicine Valid NPI
Organization · Internal Medicine Physician · Eagle, ID
- NPI
- 1407273147
- Type
- Organization (Type 2)
- Primary specialty
- Internal Medicine Physician (Internal Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207R00000X
- License number
- 207R00000X (ID)
- Enumerated
- 2014-03-19
- Last updated
- 2016-03-17
Practice location
868 E Riverside Dr, Suite 170
Eagle, ID 83616-5412
(208) 995-2802