Packham Insurance Agency

NPI #1194147850 in Blackfoot, Idaho

Provider Information

NPI Number: 1194147850
Entity Type: Organization
Organization Name: Packham Insurance Agency
Primary Specialty: Supports Brokerage
Enumeration Date: Jan 15, 2014
Last Updated: Jan 15, 2014

Practice Location

Address: 17 S BROADWAY ST
City: Blackfoot
State: Idaho
ZIP Code: 83221-2710
Phone: (208) 785-2525

Authorized Official

Name: MR. SCOTT O. PACKHAM
Title: AGENCY OWNER
Phone: (208) 785-2525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Supports Brokerage	251X00000X	Primary

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