Idaho Emergency Medical Group PC

NPI #1417314543 in Caldwell, Idaho

Provider Information

NPI Number: 1417314543
Entity Type: Organization
Organization Name: Idaho Emergency Medical Group PC
Primary Specialty: Emergency Medicine
Enumeration Date: Jan 20, 2016
Last Updated: Mar 4, 2020

Practice Location

Address: 1717 ARLINGTON AVE
City: Caldwell
State: Idaho
ZIP Code: 83605-4802
Phone: (208) 459-4641

Authorized Official

Name: SHARON HARDY
Title: PE DIRECTOR
Phone: (925) 251-6901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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