SENIOR DOC IDAHO PC

NAMPA, ID
NPI1750961637
Entity TypeOrganization
Authorized ContactJOHN GEISS
Owner/Doctor
855-434-7763
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2021-04-13
Last Update Date2025-01-13
Business Address
SENIOR DOC IDAHO PC
4301 GARRITY BLVD STE 103
NAMPA, ID 83687-9222
Phone number: 855-434-7763
Mailing Address
SENIOR DOC IDAHO PC
5 HUTTON CENTRE DR STE 950
SANTA ANA, CA 92707-8714
Phone number: 558-434-7763