East Idaho Physician Access Cloud Clinic

NPI #1649847823 in Rigby, Idaho

Provider Information

NPI Number: 1649847823
Entity Type: Organization
Organization Name: East Idaho Physician Access Cloud Clinic
Primary Specialty: Family Medicine
Enumeration Date: Jun 7, 2021
Last Updated: Jun 29, 2021

Practice Location

Address: 98 N CAMBRIDGE DR
City: Rigby
State: Idaho
ZIP Code: 83442-5298
Phone: (208) 220-1057

Authorized Official

Name: DR. MARTIN ANGUS MANGAN, DO
Title: MEDICAL DIRECTOR
Phone: (208) 220-1057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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