MANGUM PRIMARY CARE LLC

BOISE, ID
NPI1194494229
Entity TypeOrganization
Authorized ContactMEREDITH KAYE MANGUM
Owner
801-793-8124
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2021-09-11
Last Update Date2021-09-11
Business Address
MANGUM PRIMARY CARE LLC
3046 S BOWN WAY
BOISE, ID 83706-5499
Phone number: 801-793-8124
Mailing Address
MANGUM PRIMARY CARE LLC
608 S PHILLIPPI ST
BOISE, ID 83705-1160
Phone number: 801-793-8124
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