Eagle Internal Medicine, Pllc

NPI #1609004597 in Eagle, Idaho

Provider Information

NPI Number: 1609004597
Entity Type: Organization
Organization Name: Eagle Internal Medicine, Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Jun 30, 2009
Last Updated: Jun 30, 2009

Practice Location

Address: 1025 S BRIDGE WAY PL
Address 2: SUITE 100
City: Eagle
State: Idaho
ZIP Code: 83616-6834
Phone: (208) 938-0090

Authorized Official

Name: DR. MICHAEL A PATMAS, M.D.
Title: PRESIDENT
Phone: (208) 938-0090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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