Jordan Ridge Family Medicine LLC
NPI #1578277950 in Boise, Idaho
Provider Information
- NPI Number
- 1578277950
- Entity Type
- Organization
- Organization Name
- Jordan Ridge Family Medicine LLC
- Primary Specialty
- Clinic/Center - Radiology, Mobile
- Enumeration Date
- Jan 10, 2023
- Last Updated
- Jan 10, 2023
Practice Location
Authorized Official
- Name
- EMILY CASTILLO, MANAGER
- Title
- MANAGER
- Phone
- (702) 480-2550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology, Mobile — Radiology, Mobile |
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