West Idaho Imedcare

NPI #1205634607 in Caldwell, Idaho

Provider Information

NPI Number: 1205634607
Entity Type: Organization
Organization Name: West Idaho Imedcare
Primary Specialty: Internal Medicine
Enumeration Date: Mar 4, 2025
Last Updated: Mar 4, 2025

Practice Location

Address: 22872 AURA VISTA WAY
City: Caldwell
State: Idaho
ZIP Code: 83607-5593
Phone: (808) 294-7862

Authorized Official

Name: DR. NATHANAEL HOGG, DO
Title: OWNER
Phone: (808) 294-7862

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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