Gem Family Practice, INC

NPI #1205052198 in Emmett, Idaho

Provider Information

NPI Number
1205052198
Entity Type
Organization
Organization Name
Gem Family Practice, INC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Apr 18, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1108 S WASHINGTON AVE
City
Emmett
State
Idaho
ZIP Code
83617-3535
Phone
(208) 365-3455

Authorized Official

Name
JENNICE M CORDOVA, MPA-C
Title
PRESIDENT
Phone
(208) 365-3455

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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