| Mercy Physician Group Inc. | |
|
1512 12th Ave Rd Nampa ID 83686-6008 | |
| (208) 463-5000 | |
| (208) 463-5578 |
| Full Name | Mercy Physician Group Inc. |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 1512 12th Ave Rd, Nampa, Idaho |
| Authorized Official Name and Position | B Lannie Checketts (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2084635531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Physician Group Inc. 1512 12th Ave Rd Nampa ID 83686-6008 Ph: (208) 463-5000 | Mercy Physician Group Inc. 1512 12th Ave Rd Nampa ID 83686-6008 Ph: (208) 463-5000 |
| NPI Number | 1104972983 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104972983 | NPI | - | NPPES |
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