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Clover Creek Medical
Primary Care Clinic/Center in Bloomington, Idaho
NPI 1073031118

Clover Creek Medical is a Primary Care Clinic/Center based in Bloomington, ID and is specialized in Primary Care. Clover Creek Medical practices in Bloomington, ID. The NPI Number for Clover Creek Medical is 1073031118 and holds a License No. (Idaho).

The current practice location address for Clover Creek Medical is 175 North Main Street, Bloomington, ID and can be reached out via phone at 801-362-0157 and via fax at 801-362-0157.

Location: 175 North Main Street, Bloomington, ID, 83223-0208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073031118
Provider Name
Clover Creek Medical
Credential
Provider Entity Type
Organization
Address
175 North Main Street, Bloomington, ID, 83223-0208
Phone Number
801-362-0157
Fax Number
801-362-0157
Provider Enumeration Date
09/08/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
175 North Main Street
City
Bloomington
State
Idaho
Zip
83223-8322
Phone Number
801-362-0157
Fax Number
801-362-0157
person
Provider Business Mailing Address Details
Address
175 North Main Street
City
Bloomington
State
Idaho
Zip
83223-8322
Phone Number
801-362-0157
Fax Number
801-362-0157
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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