PREMIER EMERGENCY PHYSICIANS OF IDAHO MEDICAL GROUP

KELLOGG, ID
NPI1336223379
Entity TypeOrganization
Authorized ContactJOSEPH H. GATEWOOD
President Premier Emerency Physicia
800-444-7009
Organization Subpart ?No
Primary Taxonomy207P00000X Emergency Medicine
Enumeration Date2006-10-25
Last Update Date2008-03-24
Business Address
PREMIER EMERGENCY PHYSICIANS OF IDAHO MEDICAL GROUP
3 JACOBS GULCH RD
KELLOGG, ID 83837-2023
Phone number: 208-784-1221
Mailing Address
PREMIER EMERGENCY PHYSICIANS OF IDAHO MEDICAL GROUP
PO BOX 8120
PHILADELPHIA, PA 19101-8120
Phone number: 800-444-7009