Premise Health of Colorado Medical, P.c.

NPI #1598929903 in Boise, Idaho

Provider Information

NPI Number
1598929903
Entity Type
Organization
Organization Name
Premise Health of Colorado Medical, P.c.
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jul 15, 2008
Last Updated
Aug 15, 2022

Practice Location

Address
8000 S FEDERAL WAY # MS 1-706
City
Boise
State
Idaho
ZIP Code
83716-9632
Phone
(208) 368-5656

Authorized Official

Name
DR. JONATHAN LEIZMAN, MD
Title
PRESIDENT
Phone
(216) 479-9063

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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