Organization · Type 2 NPI
Timberlake Family Medicine
Primary Care Clinic/Center · Athol, ID
NPI number
1932392933
Active
Practice location
6101 E Highway 54 Ste A
Athol, ID 83801-8255
Fax (208) 683-0900
Mailing address
PO Box 775
Athol, ID 83801-0775
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | PA303 (ID) |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1932392933
Timberlake Family Medicine's National Provider Identifier is 1932392933, issued on Aug 22, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Athol, ID. The record was last updated on Aug 22, 2007.