| Korena Popp Fnp Medical Services Llc | |
|
454 W Roseberry Rd. Ste 104 Donnelly ID 83615-8361 | |
| (208) 325-3500 | |
| (208) 325-3501 |
| Full Name | Korena Popp Fnp Medical Services Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 454 W Roseberry Rd. Ste 104, Donnelly, Idaho |
| Authorized Official Name and Position | Korena Lynn Popp (NP) |
| Authorized Official Contact | 2083253500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Korena Popp Fnp Medical Services Llc Po Box 172 Donnelly ID 83615-0172 Ph: (208) 325-3500 | Korena Popp Fnp Medical Services Llc 454 W Roseberry Rd. Ste 104 Donnelly ID 83615-8361 Ph: (208) 325-3500 |
| NPI Number | 1093368276 |
|---|---|
| Provider Enumeration Date | 07/17/2019 |
| Last Update Date | 07/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093368276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Cascade Medical Center Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 454 W Roseberry Road, Suite 103, Donnelly, ID 83615 Phone: 208-382-4285 Fax: 208-382-5081 | |
Donnelly Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 454 Rosebury Road, Suite 103, Donnelly, ID 83615 Phone: 208-325-4455 Fax: 208-325-4466 |