| NPI | 1770476855 |
|---|---|
| Doing Business As | MOUNTAIN CREEK MEDICAL, LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER DAWN RICE Fnp C 208-929-5203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |