Prestige Wellness Clinic

NPI #1720867153 in Rigby, Idaho

Provider Information

NPI Number
1720867153
Entity Type
Organization
Organization Name
Prestige Wellness Clinic
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Sep 25, 2023
Last Updated
Sep 25, 2023

Practice Location

Address
3749 E 343 N
City
Rigby
State
Idaho
ZIP Code
83442-5326
Phone
(208) 705-9800

Authorized Official

Name
LEVI HANSEN
Title
CEO
Phone
(208) 705-9800

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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