Cottonwood Family Medicine Pllc | |
5999 W State St Ste B Garden City ID 83703-5059 | |
(208) 995-2875 | |
(208) 995-2874 |
Full Name | Cottonwood Family Medicine Pllc |
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Speciality | Family Medicine |
Location | 5999 W State St Ste B, Garden City, Idaho |
Authorized Official Name and Position | Marcia Dee Price-miller (PHYSICIAN/OWNER) |
Authorized Official Contact | 2089952875 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cottonwood Family Medicine Pllc 5999 W State St Ste B Garden City ID 83703-5059 Ph: (208) 995-2875 | Cottonwood Family Medicine Pllc 5999 W State St Ste B Garden City ID 83703-5059 Ph: (208) 995-2875 |
NPI Number | 1548536881 |
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Provider Enumeration Date | 03/30/2012 |
Last Update Date | 02/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548536881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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