PREMIER EMERGENCY PHYSICIANS OF IDAHO MEDICAL GROUP

NAMPA, ID
NPI1942259965
Entity TypeOrganization
Authorized ContactJOSEPH GATEWOOD
Enrollment
800-527-2145
Organization Subpart ?No
Primary Taxonomy207P00000X Emergency Medicine
Enumeration Date2006-05-08
Last Update Date2008-03-24
Business Address
PREMIER EMERGENCY PHYSICIANS OF IDAHO MEDICAL GROUP
1512 12TH AVE RD
NAMPA, ID 83686-6008
Phone number: 208-463-5100
Mailing Address
PREMIER EMERGENCY PHYSICIANS OF IDAHO MEDICAL GROUP
3916 STATE ST SUITE 300
SANTA BARBARA, CA 93105-5602
Phone number: 805-563-3011