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3456 E 17th St Ste 125 Ammon ID 83406-6759 | |
| (208) 529-2828 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 3456 E 17th St Ste 125, Ammon, Idaho |
| Authorized Official Name and Position | Jacob Erickson (CEO) |
| Authorized Official Contact | 2087853801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
98 Poplar St Blackfoot ID 83221-1758 Ph: (208) 785-4100 | 3456 E 17th St Ste 125 Ammon ID 83406-6759 Ph: (208) 529-2828 |
| NPI Number | 1174091896 |
|---|---|
| Provider Enumeration Date | 11/12/2018 |
| Last Update Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174091896 | NPI | - | NPPES |
Milestone Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1499 Curlew Dr, Ammon, ID 83406 Phone: 208-529-3342 Fax: 208-529-6631 | |
Root Cause Integrative Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1547 S Midway Ave, Suite B, Ammon, ID 83406 Phone: 208-497-0429 Fax: 208-497-0430 | |
Bore Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1498 Midway Ave Ste 2, Ammon, ID 83406 Phone: 208-529-9930 | |