FUNCTIONAL MEDICINE CENTER OF BOISE LLC

NAMPA, ID
NPI1710477310
Entity TypeOrganization
Authorized ContactSPENCER ZIMMERMAN
Owner
801-623-9877
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2018-05-18
Last Update Date2018-07-12
Business Address
FUNCTIONAL MEDICINE CENTER OF BOISE LLC
232 2ND ST S
NAMPA, ID 83651
Phone number: 801-623-9877
Mailing Address
FUNCTIONAL MEDICINE CENTER OF BOISE LLC
232 2ND ST S
NAMPA, ID 83651-3709
Phone number: