Idaho Advanced Medical Care LLC

NPI #1487307468 in Boise, Idaho

Provider Information

NPI Number: 1487307468
Entity Type: Organization
Organization Name: Idaho Advanced Medical Care LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Jan 31, 2022
Last Updated: Mar 21, 2022

Practice Location

Address: 13150 W PERSIMMON LN
City: Boise
State: Idaho
ZIP Code: 83713-1986
Phone: (818) 915-4545

Authorized Official

Name: DAVID COOPER
Title: OWNER
Phone: (818) 915-4545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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