Clinic at Eagle LLC

NPI #1306807441 in Eagle, Idaho

Provider Information

NPI Number: 1306807441
Entity Type: Organization
Organization Name: Clinic at Eagle LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 29, 2006
Last Updated: Jul 27, 2010

Practice Location

Address: 600 E STATE ST
Address 2: SUITE 200
City: Eagle
State: Idaho
ZIP Code: 83616-6081
Phone: (208) 939-2237

Authorized Official

Name: KATHE ALKIRE, CRNP
Title: OWNER
Phone: (208) 939-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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