TAMARACK EAGLE MEDICAL
Organization (NPI-2)
Active
General Practice
Provider Information
- NPI Number
1255621835- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 311 VILLAGE DR, TAMARACK, ID, 836155014
- Phone
- (208) 724-7420
Specialties & Taxonomies
Dentist
General Practice
Primary License: ID #M8190