Star Medical Center PC

NPI #1508918244 in Star, Idaho

Provider Information

NPI Number
1508918244
Entity Type
Organization
Organization Name
Star Medical Center PC
Primary Specialty
Registered Nurse - General Practice
Enumeration Date
Jan 16, 2007
Last Updated
May 14, 2013

Practice Location

Address
9858 W STATE ST
City
Star
State
Idaho
ZIP Code
83669-5210
Phone
(208) 286-0666

Authorized Official

Name
ELMER G DODGE JR., RNP
Title
PRESIDENT OWNER
Phone
(208) 286-0666

Specialties & Taxonomy Codes

Specialty
Registered Nurse - General PracticeGeneral Practice

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