Life Quest Center INC

NPI #1568796282 in Boise, Idaho

Provider Information

NPI Number
1568796282
Entity Type
Organization
Organization Name
Life Quest Center INC
Primary Specialty
Internal Medicine
Enumeration Date
Sep 28, 2009
Last Updated
Sep 28, 2009

Practice Location

Address
3355 N FIVE MILE RD
Address 2
STE 284
City
Boise
State
Idaho
ZIP Code
83713-3925
Phone
(208) 283-7895

Authorized Official

Name
EDWARD THOMPSON
Title
CEO
Phone
(208) 283-7895

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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