Organization · Type 2 NPI
SHH Medical Group Idaho, LLC
Primary Care Clinic/Center · Boise, ID
NPI number
1972165579
Active
Practice location
3751 N Cloverdale Rd
Boise, ID 83713-3610
Fax (208) 376-0269
Mailing address
PO Box 1176
Meridian, ID 83680-1176
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1972165579
SHH Medical Group Idaho, LLC's National Provider Identifier is 1972165579, issued on Jul 3, 2019. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Boise, ID. The record was last updated on Jul 3, 2019.