Organization · Type 2 NPI
Brightview Senior Health
General Practice Physician · Eagle, ID
NPI number
1336797042
Active
Practice location
1983 N Synergy Pl
Eagle, ID 83616-7332
Fax (208) 225-6858
Mailing address
141 N Palmetto Ave Unit 602
Eagle, ID 83616-8025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Eagle
About NPI 1336797042
Brightview Senior Health's National Provider Identifier is 1336797042, issued on Aug 27, 2019. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Eagle, ID. The record was last updated on Sep 9, 2019.