| Peine Osteopathic Medicine Pllc | |
|
450 W State St Suite 250 Eagle ID 83616-7057 | |
| (208) 947-0925 | |
| (208) 947-0926 |
| Full Name | Peine Osteopathic Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 450 W State St, Eagle, Idaho |
| Authorized Official Name and Position | Christopher C Peine (OWNER) |
| Authorized Official Contact | 2089470925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peine Osteopathic Medicine Pllc 450 W State St Suite 250 Eagle ID 83616-7057 Ph: (208) 947-0925 | Peine Osteopathic Medicine Pllc 450 W State St Suite 250 Eagle ID 83616-7057 Ph: (208) 947-0925 |
| NPI Number | 1306010046 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306010046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O-0366 (Idaho) | Primary |
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