Associates In Family Practice Pa | |
425 Idaho St Gooding ID 83330 | |
(208) 934-5900 | |
(208) 934-5719 |
Full Name | Associates In Family Practice Pa |
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Speciality | Family Medicine |
Location | 425 Idaho St, Gooding, Idaho |
Authorized Official Name and Position | Susie Dosieslager (OFFICE MANAGER) |
Authorized Official Contact | 2089345900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Associates In Family Practice Pa Po Box 447 Gooding ID 83330 Ph: (208) 934-5900 | Associates In Family Practice Pa 425 Idaho St Gooding ID 83330 Ph: (208) 934-5900 |
NPI Number | 1326002650 |
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Provider Enumeration Date | 04/13/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2163330325 |
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Medicare Enrollment ID | O20040128000830 |
Identifier | Type | State | Issuer |
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1326002650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Florian J Gies |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598729824 PECOS PAC ID: 3971411133 Enrollment ID: I20031112000139 |
Provider Name | David J Barclay |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235192089 PECOS PAC ID: 1557302320 Enrollment ID: I20080218000603 |
Provider Name | Samantha A Marshall |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467410837 PECOS PAC ID: 7214060532 Enrollment ID: I20100805001173 |
Provider Name | James H Rao |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720162365 PECOS PAC ID: 4486620960 Enrollment ID: I20101208000499 |
Provider Name | Fred P Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598720997 PECOS PAC ID: 8921267188 Enrollment ID: I20120307000238 |
Provider Name | Mark D Spencer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497719728 PECOS PAC ID: 5799945150 Enrollment ID: I20120322000523 |
Provider Name | Travis B Chandler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861927634 PECOS PAC ID: 3971850603 Enrollment ID: I20180725003775 |
Provider Name | Brittni J Mclam |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821484957 PECOS PAC ID: 5698079788 Enrollment ID: I20200415000838 |
Associates In Family Practice Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 Idaho St, Gooding, ID 83330 Phone: 208-934-5900 Fax: 208-934-5719 | |
Gooding Family Physicians Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 4th Ave W, Gooding, ID 83330 Phone: 208-934-4446 Fax: 208-934-4442 | |
North Canyon Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 267 N. Canyon Drive, Gooding, ID 83330 Phone: 208-934-4446 Fax: 208-934-4442 | |
Associates In Family Practice Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 Idaho St, Gooding, ID 83330 Phone: 208-934-5900 Fax: 208-934-5719 |