Rathdrum Clinic, Inc.

NPI #1669572780 in Rathdrum, Idaho

Provider Information

NPI Number: 1669572780
Entity Type: Organization
Organization Name: Rathdrum Clinic, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Sep 25, 2006
Last Updated: Mar 18, 2019

Practice Location

Address: 14775 N KIMO CT
Address 2: SUITE B
City: Rathdrum
State: Idaho
ZIP Code: 83858-8762
Phone: (208) 687-5627

Authorized Official

Name: MICHAEL WHITING, MD
Title: PRESIDENT
Phone: (208) 687-5627

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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