JORDAN RIDGE FAMILY MEDICINE LLC

BOISE, ID
NPI1578277950
Doing Business AsMOBILE UNIT-IDAHO
Entity TypeOrganization
Authorized ContactEMILY CASTILLO
Manager
702-480-2550
Organization Subpart ?No
Primary Taxonomy261QR0208X Clinic/Center, Radiology, Mobile
Enumeration Date2023-01-10
Last Update Date2023-01-10
Business Address
JORDAN RIDGE FAMILY MEDICINE LLC
322 E FRONT ST
BOISE, ID 83702-7374
Phone number: 385-274-3959
Mailing Address
JORDAN RIDGE FAMILY MEDICINE LLC
PO BOX 35380
LAS VEGAS, NV 89133-5380
Phone number: 702-480-2550