Evening Medical Clinic

NPI #1043412133 in Burley, Idaho

Provider Information

NPI Number
1043412133
Entity Type
Organization
Organization Name
Evening Medical Clinic
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Jun 1, 2007
Last Updated
Jul 16, 2010

Practice Location

Address
1252 BENNETT AVE
Address 2
SUITE B
City
Burley
State
Idaho
ZIP Code
83318
Phone
(208) 878-3486

Authorized Official

Name
MICHAEL P KLETT, DO
Title
OWNER
Phone
(208) 878-5255

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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