Family Practice Medical Center | |
777 N Raymond St Boise ID 83704-9251 | |
(208) 367-6030 | |
(208) 367-6123 |
Full Name | Family Practice Medical Center |
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Speciality | Family Medicine |
Location | 777 N Raymond St, Boise, Idaho |
Authorized Official Name and Position | Ted Epperly (CHAIRMAN AND PROGRAM DIRECTOR) |
Authorized Official Contact | 2083676042 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Practice Medical Center 777 N Raymond St Boise ID 83704-9251 Ph: (208) 367-6030 | Family Practice Medical Center 777 N Raymond St Boise ID 83704-9251 Ph: (208) 367-6030 |
NPI Number | 1982632550 |
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Provider Enumeration Date | 06/30/2006 |
Last Update Date | 01/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982632550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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