Legacy Primary Care, LLC

NPI #1568289247 in Meridian, Idaho

Provider Information

NPI Number
1568289247
Entity Type
Organization
Organization Name
Legacy Primary Care, LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Sep 24, 2024
Last Updated
Oct 16, 2024

Practice Location

Address
2667 E GALA CT STE 100
State
Idaho
ZIP Code
83642-2792
Phone
(208) 570-2707

Authorized Official

Name
CHERYL FISH
Title
OWNER
Phone
(208) 570-2707

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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