BLACK CANYON FAMILY MEDICINE PC

EMMETT, ID
NPI1649300138
Entity TypeOrganization
Authorized ContactTINA A MCGUFFEY
Owner
208-365-6311
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2007-03-06
Last Update Date2020-08-22
Business Address
BLACK CANYON FAMILY MEDICINE PC
119 N WARDWELL AVE
EMMETT, ID 83617-3040
Phone number: 208-365-6311
Mailing Address
BLACK CANYON FAMILY MEDICINE PC
PO BOX 16820
BOISE, ID 83715-6820
Phone number: 208-323-9130
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