Eagle Creek Family Medicine | |
1281 E. Iron Eagle Dr Eagle ID 83616-9117 | |
(208) 939-5535 | |
(208) 939-5536 |
Full Name | Eagle Creek Family Medicine |
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Speciality | Family Medicine |
Location | 1281 E. Iron Eagle Dr, Eagle, Idaho |
Authorized Official Name and Position | Vicki L Wooll (OWNER) |
Authorized Official Contact | 2089395535 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eagle Creek Family Medicine 1281 E. Iron Eagle Dr Eagle ID 83616-9117 Ph: (208) 939-5535 | Eagle Creek Family Medicine 1281 E. Iron Eagle Dr Eagle ID 83616-9117 Ph: (208) 939-5535 |
NPI Number | 1053494146 |
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Provider Enumeration Date | 10/23/2006 |
Last Update Date | 02/10/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053494146 | NPI | - | NPPES |
805943000 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Linda D Burke Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 S. Fitness Place, Eagle, ID 83616 Phone: 208-939-2332 Fax: 208-939-7676 | |
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