Milestone Medical LLC

NPI #1366274201 in Ammon, Idaho

Provider Information

NPI Number: 1366274201
Entity Type: Organization
Organization Name: Milestone Medical LLC
Primary Specialty: Clinic/Center - Medical Specialty
Enumeration Date: Aug 19, 2024
Last Updated: Aug 20, 2024

Practice Location

Address: 1499 CURLEW DR
City: Ammon
State: Idaho
ZIP Code: 83406-4764
Phone: (208) 529-3342

Authorized Official

Name: JED ROBERTSON
Title: CEO
Phone: (208) 529-3342

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Nurse Practitioner - Family — Family	363LF0000X
Clinic/Center - Medical Specialty — Medical Specialty	261QM2500X	Primary

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