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North Canyon Medical Center, Inc
Medical Physician Assistant in Gooding, Idaho
NPI 1184932584

North Canyon Medical Center, Inc is a Medical Physician Assistant based in Gooding, ID and is specialized in Medical. North Canyon Medical Center, Inc practices in Gooding, ID. The NPI Number for North Canyon Medical Center, Inc is 1184932584 and holds a License No. 363AM0700X (Idaho).

The current practice location address for North Canyon Medical Center, Inc is 267 N Canyon Dr, Gooding, ID and can be reached out via phone at 208-934-4433.

Location: 267 N Canyon Dr, Gooding, ID, 83330-5500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184932584
Provider Name
North Canyon Medical Center, Inc
Credential
Provider Entity Type
Organization
Address
267 N Canyon Dr, Gooding, ID, 83330-5500
Phone Number
208-934-4433
Fax Number
Provider Enumeration Date
09/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1609046671 05 ID
institution
Provider Business Practice Location Address Details
Address
267 N Canyon Dr
City
Gooding
State
Idaho
Zip
83330-5500
Phone Number
208-934-4433
Fax Number
person
Provider Business Mailing Address Details
Address
267 N Canyon Dr
City
Gooding
State
Idaho
Zip
83330-5500
Phone Number
208-934-4433
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
363AM0700X (Idaho)
Definition
Definition to come...
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