Organization · Type 2 NPI

Idaho Minor Emergency and Family Practice PA

Clinic/Center · Meridian, ID

NPI number 1205996063 Active

Practice location

3041 East Copper Pointe Drive
Meridian, ID 83642

Call (208) 514-4400 Map

Fax (208) 514-4404

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1205996063

Idaho Minor Emergency and Family Practice PA's National Provider Identifier is 1205996063, issued on Dec 11, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Meridian, ID. The record was last updated on Mar 27, 2013.