| Treasure Valley Family Medicine, Pllc | |
|
2428 N Stokesberry Pl Meridian ID 83646-5035 | |
| (208) 895-0050 | |
| (855) 543-3086 |
| Full Name | Treasure Valley Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2428 N Stokesberry Pl, Meridian, Idaho |
| Authorized Official Name and Position | Brian Keith Crownover (OWNER/PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 2088950050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Valley Family Medicine, Pllc 2428 N Stokesberry Pl Meridian ID 83646-5035 Ph: (208) 895-0050 | Treasure Valley Family Medicine, Pllc 2428 N Stokesberry Pl Meridian ID 83646-5035 Ph: (208) 895-0050 |
| NPI Number | 1841603768 |
|---|---|
| Provider Enumeration Date | 06/09/2014 |
| Last Update Date | 09/12/2023 |
| Medicare PECOS PAC ID | 0244450575 |
|---|---|
| Medicare Enrollment ID | O20141008000787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841603768 | NPI | - | NPPES |
| Provider Name | Brian K Crownover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295729085 PECOS PAC ID: 5294924163 Enrollment ID: I20140402001851 |
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