Functional And Integrative Medicine Of Idaho Pa | |
3858 N Garden Center Way Suite 100 Boise ID 83703-5008 | |
(208) 385-7711 | |
(208) 385-0346 |
Full Name | Functional And Integrative Medicine Of Idaho Pa |
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Speciality | Family Medicine |
Location | 3858 N Garden Center Way, Boise, Idaho |
Authorized Official Name and Position | Gail M. Eberharter (PRESIDENT) |
Authorized Official Contact | 2088631399 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Functional And Integrative Medicine Of Idaho Pa 2905 W Jordan St Boise ID 83702-2134 Ph: (208) 863-1399 | Functional And Integrative Medicine Of Idaho Pa 3858 N Garden Center Way Suite 100 Boise ID 83703-5008 Ph: (208) 385-7711 |
NPI Number | 1740524701 |
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Provider Enumeration Date | 11/15/2012 |
Last Update Date | 01/29/2015 |
Identifier | Type | State | Issuer |
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1740524701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M4631 (Idaho) | Primary |
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