Organization · Type 2 NPI
Landmark Medical of Idaho PC
General Practice Physician · Boise, ID
NPI number
1649995101
Active
Practice location
322 E Front St Ste 400
Boise, ID 83702-7370
Mailing address
7755 Center Ave Ste 630
Huntington Beach, CA 92647-9152
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.
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About NPI 1649995101
Landmark Medical of Idaho PC's National Provider Identifier is 1649995101, issued on Oct 7, 2022. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Boise, ID. The record was last updated on Oct 7, 2022.