Riverside Primary Care Adult and Geriatric Medicine Plllp

NPI #1003693961 in Boise, Idaho

Provider Information

NPI Number: 1003693961
Entity Type: Organization
Organization Name: Riverside Primary Care Adult and Geriatric Medicine Plllp
Primary Specialty: Family Medicine - Geriatric Medicine
Enumeration Date: Sep 13, 2023
Last Updated: Sep 13, 2023

Practice Location

Address: 1673 W SHORELINE DR STE 100
City: Boise
State: Idaho
ZIP Code: 83702-6749
Phone: (208) 593-3054

Authorized Official

Name: JESSICA LONG, NP
Title: CO-OWNER
Phone: (208) 850-1940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Geriatric Medicine — Geriatric Medicine	207QG0300X	Primary

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