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 |
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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 |
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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 |
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Provider Enumeration Date | 07/17/2019 |
Last Update Date | 07/17/2019 |
Identifier | Type | State | Issuer |
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1093368276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |