Owyhee Medical Clinic Pa | |
106 West Idaho Avenue Homedale ID 83628 | |
(208) 337-3233 | |
Not Available |
Full Name | Owyhee Medical Clinic Pa |
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Speciality | Family Medicine |
Location | 106 West Idaho Avenue, Homedale, Idaho |
Authorized Official Name and Position | John F Noak (OWNER) |
Authorized Official Contact | 2083373233 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Owyhee Medical Clinic Pa Po Box 16820 Boise ID 83715-6820 Ph: (208) 337-3233 | Owyhee Medical Clinic Pa 106 West Idaho Avenue Homedale ID 83628 Ph: (208) 337-3233 |
NPI Number | 1992728976 |
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Provider Enumeration Date | 07/25/2006 |
Last Update Date | 06/10/2008 |
Identifier | Type | State | Issuer |
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1992728976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |