River Horse Medical Clinic

NPI #1144057852 in Lewiston, Idaho

Provider Information

NPI Number
1144057852
Entity Type
Organization
Organization Name
River Horse Medical Clinic
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Sep 17, 2024
Last Updated
Nov 14, 2024

Practice Location

Address
222 SOUTHWAY AVE STE C
State
Idaho
ZIP Code
83501-2703
Phone
(208) 792-1011

Authorized Official

Name
JENNIFER GRINAGE, PA-C
Title
OWNER/CEO
Phone
(208) 792-1011

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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