ORIGIN HEALTH & LONGEVITY PLLC

MERIDIAN, ID
NPI1174453757
Entity TypeOrganization
Authorized ContactSAMUEL KENT BUTTARS
Owner
208-283-4929
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2026-05-23
Last Update Date2026-05-23
Business Address
ORIGIN HEALTH & LONGEVITY PLLC
4686 N ALAMEDA CREEK AVE
MERIDIAN, ID 83646-2017
Phone number: 208-283-4929
Mailing Address
ORIGIN HEALTH & LONGEVITY PLLC
4686 N ALAMEDA CREEK AVE
MERIDIAN, ID 83646-2017
Phone number: 208-283-4929
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