Olde Town Medical

NPI #1245690544 in Meridian, Idaho

Provider Information

NPI Number
1245690544
Entity Type
Organization
Organization Name
Olde Town Medical
Primary Specialty
Nurse Practitioner - Adult Health
Enumeration Date
Feb 29, 2016
Last Updated
Mar 11, 2016

Practice Location

Address
124 E PINE AVE
State
Idaho
ZIP Code
83642-2331
Phone
(208) 887-5422

Authorized Official

Name
SUSAN E TOMEY, NP
Title
PROVIDER/OWNER
Phone
(208) 888-5422

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Adult HealthAdult Health

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