| Tamarack Medical & Dental Clinic | |
|
311 Village Dr Tamarack ID 83615-5014 | |
| (208) 724-7420 | |
| Not Available |
| Full Name | Tamarack Medical & Dental Clinic |
|---|---|
| Speciality | General Practice |
| Location | 311 Village Dr, Tamarack, Idaho |
| Authorized Official Name and Position | Rourke Yeakley (SOLE MEMBER) |
| Authorized Official Contact | 2087247420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamarack Medical & Dental Clinic 5701 Willow Creek Rd Eagle ID 83616-2025 Ph: (208) 724-7420 | Tamarack Medical & Dental Clinic 311 Village Dr Tamarack ID 83615-5014 Ph: (208) 724-7420 |
| NPI Number | 1255621835 |
|---|---|
| Provider Enumeration Date | 04/15/2011 |
| Last Update Date | 04/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255621835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | M8190 (Idaho) | Primary |