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Brightview Senior Health
General Practice Physician in Eagle, Idaho
NPI 1336797042

Brightview Senior Health is a General Practice Physician based in Eagle, ID. Brightview Senior Health practices in Eagle, ID. The NPI Number for Brightview Senior Health is 1336797042 and holds a License No. (Idaho).

The current practice location address for Brightview Senior Health is 1983 N Synergy Pl, Eagle, ID and can be reached out via phone at 208-509-8987 and via fax at 208-225-6858.

Location: 1983 N Synergy Pl, Eagle, ID, 83616-8025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336797042
Provider Name
Brightview Senior Health
Credential
Provider Entity Type
Organization
Address
1983 N Synergy Pl, Eagle, ID, 83616-8025
Phone Number
208-509-8987
Fax Number
208-225-6858
Provider Enumeration Date
08/27/2019
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0-1288 01 ID STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1983 N Synergy Pl
City
Eagle
State
Idaho
Zip
83616-7332
Phone Number
208-509-8987
Fax Number
208-225-6858
person
Provider Business Mailing Address Details
Address
1983 N Synergy Pl
City
Eagle
State
Idaho
Zip
83616-7332
Phone Number
208-509-8987
Fax Number
208-225-6858
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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