| Firstline Medical | |
|
6000 W Overland Rd Boise ID 83709-3013 | |
| (208) 323-7588 | |
| (208) 515-3468 |
| Full Name | Firstline Medical |
|---|---|
| Speciality | General Practice |
| Location | 6000 W Overland Rd, Boise, Idaho |
| Authorized Official Name and Position | Allen Roger Neuenschwander (CEO) |
| Authorized Official Contact | 2083237588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Firstline Medical Po Box 7667 Boise ID 83707-1667 Ph: (208) 323-7588 | Firstline Medical 6000 W Overland Rd Boise ID 83709-3013 Ph: (208) 323-7588 |
| NPI Number | 1578741393 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 12/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578741393 | NPI | - | NPPES |
| M-2852 | Other | ID | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | M-2852 (Idaho) | Primary |
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