NORTH CANYON MOUNTAIN HOME CLINIC
Organization (NPI-2)
Active
Clinic/Center
Provider Information
- NPI Number
1649759374- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 840 N 4TH E, MOUNTAIN HOME, ID, 836472166
- Phone
- (208) 934-8829
- Fax
- (208) 934-4874
Specialties & Taxonomies
Clinic/Center
Primary License: ID