| Legacy Primary Care, Llc | |
|
2667 E Gala Ct Ste 100 Meridian ID 83642-2792 | |
| (208) 570-2707 | |
| Not Available |
| Full Name | Legacy Primary Care, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2667 E Gala Ct Ste 100, Meridian, Idaho |
| Authorized Official Name and Position | Cheryl Fish (OWNER) |
| Authorized Official Contact | 2085702707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Primary Care, Llc 2273 E Gala St Ste 120 Meridian ID 83642-7289 Ph: () - | Legacy Primary Care, Llc 2667 E Gala Ct Ste 100 Meridian ID 83642-2792 Ph: (208) 570-2707 |
| NPI Number | 1568289247 |
|---|---|
| Provider Enumeration Date | 09/24/2024 |
| Last Update Date | 10/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568289247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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