IDAHO STREET MEDICAL CLINIC

HOMEDALE, ID
NPI1023639622
Entity TypeOrganization
Authorized ContactEDITH MARY ROE
Nurse Practitioner
208-859-4103
Organization Subpart ?No
Primary Taxonomy261QH0100X Clinic/Center, Health Services
Enumeration Date2020-05-05
Last Update Date2020-05-05
Business Address
IDAHO STREET MEDICAL CLINIC
126 W. IDAHO AVE
HOMEDALE, ID 83628-8362
Phone number: 208-337-7038
Mailing Address
IDAHO STREET MEDICAL CLINIC
24900 MARKET RD
PARMA, ID 83660-6723
Phone number: 208-722-7744
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