institution
Payette Lakes Medical Clinic, Pa
Primary Care Clinic/Center in Donnelly, Idaho
NPI 1902937196

Payette Lakes Medical Clinic, Pa is a Primary Care Clinic/Center based in Mccall, ID and is specialized in Primary Care. Payette Lakes Medical Clinic, Pa practices in Donnelly, ID. The NPI Number for Payette Lakes Medical Clinic, Pa is 1902937196 and holds a License No. (Idaho).

The current practice location address for Payette Lakes Medical Clinic, Pa is 454 Rosebury Road, Donnelly, ID and can be reached out via phone at 208-325-4455 and via fax at 208-325-4466.

Location: 454 Rosebury Road, Donnelly, ID, 83638-1047
institution
Provider Profile Details
NPI Number
1902937196
Provider Name
Payette Lakes Medical Clinic, Pa
Credential
Provider Entity Type
Organization
Address
454 Rosebury Road, Donnelly, ID, 83638-1047
Phone Number
208-325-4455
Fax Number
208-325-4466
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8N006 01 ID BC
000010160243 01 ID BS
institution
Provider Business Practice Location Address Details
Address
454 Rosebury Road
City
State
Zip
83615
Phone Number
208-325-4455
Fax Number
208-325-4466
person
Provider Business Mailing Address Details
Address
454 Rosebury Road
City
State
Zip
83615
Phone Number
208-325-4455
Fax Number
208-325-4466
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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