Organization · Type 2 NPI
Payette Lakes Medical Clinic, PA
Primary Care Clinic/Center · Mccall, ID
NPI number
1255462263
Active
Practice location
211 Forest Street
Mccall, ID 83638
Fax (208) 634-7212
Mailing address
PO Box 1047
Mccall, ID 83638-1047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1255462263
Payette Lakes Medical Clinic, PA's National Provider Identifier is 1255462263, issued on Mar 8, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Mccall, ID. The record was last updated on Mar 11, 2008.