Mcmillan Medical Center | |
4750 N Five Mile Rd Boise ID 83713-2715 | |
(208) 375-0500 | |
(208) 375-4310 |
Full Name | Mcmillan Medical Center |
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Speciality | Family Medicine |
Location | 4750 N Five Mile Rd, Boise, Idaho |
Authorized Official Name and Position | Corinne K Chastain (OFFICE MANAGER) |
Authorized Official Contact | 2083750500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mcmillan Medical Center 4750 N Five Mile Rd Boise ID 83713-2715 Ph: (208) 375-0500 | Mcmillan Medical Center 4750 N Five Mile Rd Boise ID 83713-2715 Ph: (208) 375-0500 |
NPI Number | 1073601233 |
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Provider Enumeration Date | 10/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073601233 | NPI | - | NPPES |
8D319 | Other | ID | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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