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Main Street Medical Llc
Family Medicine Physician in Bonners Ferry, Idaho
NPI 1134274103

Main Street Medical Llc is a Family Medicine Physician based in Bonners Ferry, ID. Main Street Medical Llc practices in Bonners Ferry, ID. The NPI Number for Main Street Medical Llc is 1134274103 and holds a License No. M-7989 (Idaho).

The current practice location address for Main Street Medical Llc is 6641 Kaniksu St, Bonners Ferry, ID and can be reached out via phone at 208-265-3655 and via fax at 208-267-3757.

Location: 6641 Kaniksu St, Bonners Ferry, ID, 83805-1640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134274103
Provider Name
Main Street Medical Llc
Credential
Provider Entity Type
Organization
Address
6641 Kaniksu St, Bonners Ferry, ID, 83805-1640
Phone Number
208-265-3655
Fax Number
208-267-3757
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M7989 01 ID IDAHO LICENSE
institution
Provider Business Practice Location Address Details
Address
6641 Kaniksu St
City
Bonners Ferry
State
Idaho
Zip
83805-7532
Phone Number
208-265-3655
Fax Number
208-267-3757
person
Provider Business Mailing Address Details
Address
6641 Kaniksu St
City
Bonners Ferry
State
Idaho
Zip
83805-7532
Phone Number
208-265-3655
Fax Number
208-267-3757
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
M-7989 (Idaho)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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