Organization · Type 2 NPI
Evening Medical Clinic
Health Service Clinic/Center · Burley, ID
NPI number
1043412133
Active
Practice location
1252 Bennett Ave, Suite B
Burley, ID 83318
Fax (208) 878-2005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1043412133
Evening Medical Clinic's National Provider Identifier is 1043412133, issued on Jun 1, 2007. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Burley, ID. The record was last updated on Jul 16, 2010.