Mmg LLC

NPI #1407469166 in Meridian, Idaho

Provider Information

NPI Number
1407469166
Entity Type
Organization
Organization Name
Mmg LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Aug 24, 2020
Last Updated
Jul 22, 2022

Practice Location

Address
2440 S TITANIUM PL
State
Idaho
ZIP Code
83642-6703
Phone
(208) 456-2659

Authorized Official

Name
KENNETH E NORRIS
Title
MANAGING PARTNER
Phone
(801) 485-6166

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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