OLDE TOWN MEDICAL

MERIDIAN, ID
NPI1245690544
Entity TypeOrganization
Authorized ContactSUSAN E TOMEY
Provider/Owner
208-888-5422
Organization Subpart ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
Enumeration Date2016-02-29
Last Update Date2016-03-11
Business Address
OLDE TOWN MEDICAL
124 E PINE AVE
MERIDIAN, ID 83642-2331
Phone number: 208-887-5422
Mailing Address
OLDE TOWN MEDICAL
124 E PINE AVE
MERIDIAN, ID 83642-2331
Phone number: 208-887-5422
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