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Total Life Clinic Pllc
Primary Care Clinic/Center in Burley, Idaho
NPI 1467816199

Total Life Clinic Pllc is a Primary Care Clinic/Center based in Burley, ID and is specialized in Primary Care. Total Life Clinic Pllc practices in Burley, ID. The NPI Number for Total Life Clinic Pllc is 1467816199 and holds a License No. (Idaho).

The current practice location address for Total Life Clinic Pllc is 2311 Park Ave, Burley, ID and can be reached out via phone at 208-878-6413 and via fax at 208-878-6417.

Location: 2311 Park Ave, Burley, ID, 83318-2104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467816199
Provider Name
Total Life Clinic Pllc
Credential
Provider Entity Type
Organization
Address
2311 Park Ave, Burley, ID, 83318-2104
Phone Number
208-878-6413
Fax Number
208-878-6417
Provider Enumeration Date
04/08/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1467816199 05 ID
institution
Provider Business Practice Location Address Details
Address
2311 Park Ave
City
Burley
State
Idaho
Zip
83318-2104
Phone Number
208-878-6413
Fax Number
208-878-6417
person
Provider Business Mailing Address Details
Address
2311 Park Ave
City
Burley
State
Idaho
Zip
83318-2104
Phone Number
208-878-6413
Fax Number
208-878-6417
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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