Idaho Medical Specialists PC

NPI #1336813047 in Meridian, Idaho

Provider Information

NPI Number
1336813047
Entity Type
Organization
Organization Name
Idaho Medical Specialists PC
Primary Specialty
Clinic/Center
Enumeration Date
Aug 5, 2021
Last Updated
Aug 30, 2021

Practice Location

Address
3597 E MONARCH SKY LN STE F-240
State
Idaho
ZIP Code
83646-1053
Phone
(202) 935-1033

Authorized Official

Name
HIRENKUMAR ITALIA
Title
MD
Phone
(800) 557-8950

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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