5 Peppers INC

NPI #1437504909 in Nampa, Idaho

Provider Information

NPI Number: 1437504909
Entity Type: Organization
Organization Name: 5 Peppers INC
Primary Specialty: Family Medicine
Enumeration Date: May 3, 2016
Last Updated: May 3, 2016

Practice Location

Address: 217 W. GEORGIA AVE. STE 120
City: Nampa
State: Idaho
ZIP Code: 83686
Phone: (208) 498-1760

Authorized Official

Name: DEO MARIE PEPPERSACK, DNP
Title: OWNER
Phone: (208) 498-1760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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