PETRIE WHITE FAMILY MEDICINE OF IDAHO

EMMETT, ID
NPI1447629555
Doing Business AsEMMETT FAMILY MEDICINE AND DIRECT PRIMARY CARE
Entity TypeOrganization
Authorized ContactRYAN EARL WHITE
Clinic Administrator
208-365-7131
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M7802)
Enumeration Date2015-09-18
Last Update Date2016-01-12
Business Address
PETRIE WHITE FAMILY MEDICINE OF IDAHO
2001 E QUAIL RUN RD
EMMETT, ID 83617-5059
Phone number: 208-365-7131
Mailing Address
PETRIE WHITE FAMILY MEDICINE OF IDAHO
2001 E QUAIL RUN RD
EMMETT, ID 83617-5059
Phone number: 208-365-7131