| Breathe Airway Meridian Llc | |
|
1067 S Wells St Meridian ID 83642-8596 | |
| (208) 484-5702 | |
| Not Available |
| Full Name | Breathe Airway Meridian Llc |
|---|---|
| Speciality | Dentist |
| Location | 1067 S Wells St, Meridian, Idaho |
| Authorized Official Name and Position | John Mcrae (OWNER/PROVIDER) |
| Authorized Official Contact | 2084845702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breathe Airway Meridian Llc 1067 S Wells St Meridian ID 83642-8596 Ph: (208) 484-5702 | Breathe Airway Meridian Llc 1067 S Wells St Meridian ID 83642-8596 Ph: (208) 484-5702 |
| NPI Number | 1275275349 |
|---|---|
| Provider Enumeration Date | 04/10/2022 |
| Last Update Date | 04/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275275349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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