| 2m0tiv8, Pllc | |
|
1015 Caldwell Blvd Ste 3 Nampa ID 83651-1717 | |
| (208) 291-5553 | |
| (208) 231-9958 |
| Full Name | 2m0tiv8, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 1015 Caldwell Blvd Ste 3, Nampa, Idaho |
| Authorized Official Name and Position | Rebecca Ann Mcdonald (OWNER / PROVIDER) |
| Authorized Official Contact | 2082915553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 2m0tiv8, Pllc 1015 Caldwell Blvd Ste 3 Nampa ID 83651-1717 Ph: (208) 291-5553 | 2m0tiv8, Pllc 1015 Caldwell Blvd Ste 3 Nampa ID 83651-1717 Ph: (208) 291-5553 |
| NPI Number | 1821843020 |
|---|---|
| Provider Enumeration Date | 04/22/2024 |
| Last Update Date | 04/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821843020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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