Joseph Martindale, Do,pa | |
4460 Central Way Suite 3 Chubbuck ID 83202-5095 | |
(208) 237-3612 | |
Not Available |
Full Name | Joseph Martindale, Do,pa |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 4460 Central Way, Chubbuck, Idaho |
Authorized Official Name and Position | Joseph L Martindale (OWNER) |
Authorized Official Contact | 2082373612 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Joseph Martindale, Do,pa 4460 Central Way Suite 3 Chubbuck ID 83202-5095 Ph: (208) 237-3612 | Joseph Martindale, Do,pa 4460 Central Way Suite 3 Chubbuck ID 83202-5095 Ph: (208) 237-3612 |
NPI Number | 1043489164 |
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Provider Enumeration Date | 02/22/2008 |
Last Update Date | 03/05/2008 |
Identifier | Type | State | Issuer |
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1043489164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | O-0391 (Idaho) | Primary |
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