DOCTORS CLINIC OF ELMORE COUNTY PLLC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1063578664- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2000 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID, 836473138
- Phone
- (208) 587-1500
- Fax
- (208) 587-3180
Specialties & Taxonomies
Physician Assistant
License: ID #PA-265
Family Medicine
Primary License: ID #O-91