| Functional Medicine Center Of Boise Llc | |
|
232 2nd St S Nampa ID 83651 | |
| (801) 623-9877 | |
| Not Available |
| Full Name | Functional Medicine Center Of Boise Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 232 2nd St S, Nampa, Idaho |
| Authorized Official Name and Position | Spencer Zimmerman (OWNER) |
| Authorized Official Contact | 8016239877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Medicine Center Of Boise Llc 232 2nd St S Nampa ID 83651-3709 Ph: () - | Functional Medicine Center Of Boise Llc 232 2nd St S Nampa ID 83651 Ph: (801) 623-9877 |
| NPI Number | 1710477310 |
|---|---|
| Provider Enumeration Date | 05/18/2018 |
| Last Update Date | 07/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710477310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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