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Black Canyon Medical Group Pllc
Family Medicine Physician in Emmett, Idaho
NPI 1811419708

Black Canyon Medical Group Pllc is a Family Medicine Physician based in Emmett, ID. Black Canyon Medical Group Pllc practices in Emmett, ID. The NPI Number for Black Canyon Medical Group Pllc is 1811419708 and holds a License No. M9309 (Idaho).

The current practice location address for Black Canyon Medical Group Pllc is 426 Highway 16, Emmett, ID and can be reached out via phone at 208-365-2735 and via fax at 208-365-2737.

Location: 426 Highway 16, Emmett, ID, 83617-9461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811419708
Provider Name
Black Canyon Medical Group Pllc
Credential
Provider Entity Type
Organization
Address
426 Highway 16, Emmett, ID, 83617-9461
Phone Number
208-365-2735
Fax Number
208-365-2737
Provider Enumeration Date
07/12/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1346654589 05 ID
1306873435 05 ID
institution
Provider Business Practice Location Address Details
Address
426 Highway 16
City
Emmett
State
Idaho
Zip
83617-9461
Phone Number
208-365-2735
Fax Number
208-365-2737
person
Provider Business Mailing Address Details
Address
426 Highway 16
City
Emmett
State
Idaho
Zip
83617-9461
Phone Number
208-365-2735
Fax Number
208-365-2737
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
M9309 (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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