Idahormones

NPI #1114600277 in Meridian, Idaho

Provider Information

NPI Number: 1114600277
Entity Type: Organization
Organization Name: Idahormones
Primary Specialty: Physician Assistant
Enumeration Date: Aug 7, 2023
Last Updated: Aug 7, 2023

Practice Location

Address: 3648 N CENTREPOINT WAY STE 110
City: Meridian
State: Idaho
ZIP Code: 83646-7626
Phone: (208) 874-2394

Authorized Official

Name: JAMIE RUIZ, PA
Title: OWNER
Phone: (208) 874-2394

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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