ADVANCED INTEGRATED MEDICAL CENTER
Organization (NPI-2)
Active
Nurse Practitioner
Provider Information
- NPI Number
1033674916- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1395 NW MAIN ST, BLACKFOOT, ID, 832213936
- Phone
- (208) 785-0270
- Fax
- (208) 785-0683
Specialties & Taxonomies
Nurse Practitioner, Family
Nurse Practitioner
Primary