Well Clinic LLC

NPI #1558176305 in Hayden, Idaho

Provider Information

NPI Number: 1558176305
Entity Type: Organization
Organization Name: Well Clinic LLC
Primary Specialty: Clinic/Center
Enumeration Date: Feb 10, 2025
Last Updated: Feb 10, 2025

Practice Location

Address: 579 W HAYDEN AVE
City: Hayden
State: Idaho
ZIP Code: 83835-9726
Phone: (208) 772-6015

Authorized Official

Name: JAMES D CLAYTON
Title: MANAGING MEMBER
Phone: (208) 818-4485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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