| Landmark Medical Of Idaho Pc | |
|
322 E Front St Ste 400 Boise ID 83702-7370 | |
| (657) 400-5180 | |
| Not Available |
| Full Name | Landmark Medical Of Idaho Pc |
|---|---|
| Speciality | General Practice |
| Location | 322 E Front St Ste 400, Boise, Idaho |
| Authorized Official Name and Position | Michael Le (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6574005180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Landmark Medical Of Idaho Pc 7755 Center Ave Ste 630 Huntington Beach CA 92647-9152 Ph: () - | Landmark Medical Of Idaho Pc 322 E Front St Ste 400 Boise ID 83702-7370 Ph: (657) 400-5180 |
| NPI Number | 1649995101 |
|---|---|
| Provider Enumeration Date | 10/07/2022 |
| Last Update Date | 10/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649995101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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