| NPI | 1649847823 |
|---|---|
| Doing Business As | EIPACC |
| Doing Business As | EAST IDAHO PHYSICIAN ACCESS CLOUD CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARTIN ANGUS MANGAN Medical Director 208-220-1057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-06-29 |