| Indian Creek Family Medicine,llc | |
|
708 E Wythe Creek Ct Ste. 103 Kuna ID 83634-2473 | |
| (208) 922-5338 | |
| (208) 922-5340 |
| Full Name | Indian Creek Family Medicine,llc |
|---|---|
| Speciality | Family Medicine |
| Location | 708 E Wythe Creek Ct, Kuna, Idaho |
| Authorized Official Name and Position | Michael D Holden (OWNER) |
| Authorized Official Contact | 2089225338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian Creek Family Medicine,llc 708 E Wythe Creek Ct Ste. 103 Kuna ID 83634-2473 Ph: (208) 922-5338 | Indian Creek Family Medicine,llc 708 E Wythe Creek Ct Ste. 103 Kuna ID 83634-2473 Ph: (208) 922-5338 |
| NPI Number | 1487743845 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487743845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Idaho) | Primary |
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Advanced Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 943 Linder Rd, #103, Kuna, ID 83634 Phone: 208-922-3355 Fax: 208-922-9499 | |
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