institution
Shadow Pines Health & Wellness Llc
Primary Care Clinic/Center in Eagle, Idaho
NPI 1851094619

Shadow Pines Health & Wellness Llc is a Primary Care Clinic/Center based in Eagle, ID and is specialized in Primary Care. Shadow Pines Health & Wellness Llc practices in Eagle, ID. The NPI Number for Shadow Pines Health & Wellness Llc is 1851094619 and holds a License No. (Idaho).

The current practice location address for Shadow Pines Health & Wellness Llc is 408 S Eagle Rd Ste 205, Eagle, ID and can be reached out via phone at 208-244-0534 and via fax at 984-355-0375.

Location: 408 S Eagle Rd Ste 205, Eagle, ID, 83616-6079
institution
Provider Profile Details
NPI Number
1851094619
Provider Name
Shadow Pines Health & Wellness Llc
Credential
Provider Entity Type
Organization
Address
408 S Eagle Rd Ste 205, Eagle, ID, 83616-6079
Phone Number
208-244-0534
Fax Number
984-355-0375
Provider Enumeration Date
03/22/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
408 S Eagle Rd Ste 205
City
State
Zip
83616-6079
Phone Number
208-244-0534
Fax Number
984-355-0375
person
Provider Business Mailing Address Details
Address
408 S Eagle Rd Ste 205
City
State
Zip
83616-6079
Phone Number
208-244-0534
Fax Number
984-355-0375
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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