Digestive Health Clinic Llc | |
5080 E Commerce St Nampa ID 83687-5513 | |
(986) 867-1600 | |
(986) 867-1601 |
Full Name | Digestive Health Clinic Llc |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 5080 E Commerce St, Nampa, Idaho |
Authorized Official Name and Position | Mark A Mallory (MANAGER) |
Authorized Official Contact | 2084891900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Digestive Health Clinic Llc 6259 W Emerald St Boise ID 83704-8731 Ph: (208) 489-1900 | Digestive Health Clinic Llc 5080 E Commerce St Nampa ID 83687-5513 Ph: (986) 867-1600 |
NPI Number | 1891310561 |
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Provider Enumeration Date | 06/09/2020 |
Last Update Date | 06/19/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891310561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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