Mangum Primary Care LLC
NPI #1194494229 in Boise, Idaho
Provider Information
- NPI Number
- 1194494229
- Entity Type
- Organization
- Organization Name
- Mangum Primary Care LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 11, 2021
- Last Updated
- Sep 11, 2021
Practice Location
Authorized Official
- Name
- MEREDITH KAYE MANGUM, FNP-C
- Title
- OWNER
- Phone
- (801) 793-8124
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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