MOMENTUM MEDICAL GROUP OF IDAHO LLC

BOISE, ID
NPI1417737594
Entity TypeOrganization
Authorized ContactHEATHER BEARD
Billing Service
208-880-0883
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2023-10-04
Last Update Date2024-01-10
Business Address
MOMENTUM MEDICAL GROUP OF IDAHO LLC
8854 W EMERALD ST STE 275
BOISE, ID 83704-4860
Phone number: 208-375-3201
Mailing Address
MOMENTUM MEDICAL GROUP OF IDAHO LLC
8854 W EMERALD ST STE 140
BOISE, ID 83704-4845
Phone number: