FAMILY MEDICAL CARE PLLC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1053615427- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 265 W PRAIRIE SHOPPING CTR, HAYDEN, ID, 838359855
- Phone
- (208) 772-7850
- Fax
- (208) 772-2313
Specialties & Taxonomies
Physician Assistant, Medical
License: ID #PAG-019
Family Medicine
Primary License: ID #M-7938