TRANSFORMATIONS IDAHO PLLC

MERIDIAN, ID
NPI1609245109
Entity TypeOrganization
Authorized ContactJEFFREY R JACOMS
Sole Member
208-639-7300
Organization Subpart ?No
Primary Taxonomy207VG0400X Obstetrics & Gynecology, Gynecology
Enumeration Date2015-09-15
Last Update Date2015-09-15
Business Address
TRANSFORMATIONS IDAHO PLLC
2857 S MERIDIAN RD 100
MERIDIAN, ID 83642-7960
Phone number: 208-639-7300
Mailing Address
TRANSFORMATIONS IDAHO PLLC
2857 S MERIDIAN RD 100
MERIDIAN, ID 83642-7960
Phone number: 208-639-7300