| Human Dynamics And Diagnostics | |
|
404 W Cameron Ave Kellogg ID 83837-2111 | |
| (208) 783-2804 | |
| (208) 783-2805 |
| Full Name | Human Dynamics And Diagnostics |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 404 W Cameron Ave, Kellogg, Idaho |
| Authorized Official Name and Position | Robert Freeman Spiel (AGENCY OPERATIONS) |
| Authorized Official Contact | 2085220140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Human Dynamics And Diagnostics 404 W Cameron Ave Kellogg ID 83837-2111 Ph: (208) 783-2804 | Human Dynamics And Diagnostics 404 W Cameron Ave Kellogg ID 83837-2111 Ph: (208) 783-2804 |
| NPI Number | 1811193584 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811193584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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