FAMILY MEDICINE & MEDICINE

KETCHUM, ID
NPI1194136515
Entity TypeOrganization
Authorized ContactNANETTE FORD
President
208-725-0900
Organization Subpart ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-126)
Enumeration Date2014-05-20
Last Update Date2014-05-20
Business Address
FAMILY MEDICINE & MEDICINE
380 WASHINGTON AVE SUITE 204
KETCHUM, ID 83340-1575
Phone number: 208-725-0900
Mailing Address
FAMILY MEDICINE & MEDICINE
PO BOX 1575
KETCHUM, ID 83340-1575
Phone number: 208-725-0900
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