BLACK CANYON MEDICAL GROUP PLLC

EMMETT, ID
NPI1811419708
Entity TypeOrganization
Authorized ContactTINA MCGUFFEY
Owner
208-365-2735
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M9309)
Enumeration Date2017-07-12
Last Update Date2022-07-21
Business Address
BLACK CANYON MEDICAL GROUP PLLC
426 HIGHWAY 16
EMMETT, ID 83617-9461
Phone number: 208-365-2735
Mailing Address
BLACK CANYON MEDICAL GROUP PLLC
426 HIGHWAY 16
EMMETT, ID 83617-9461
Phone number: 208-365-2735
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