Dominican Health Services

NPI #1750372579 in Fruitland, Idaho

Provider Information

NPI Number: 1750372579
Entity Type: Organization
Organization Name: Dominican Health Services
Primary Specialty: Family Medicine
Enumeration Date: Nov 1, 2005
Last Updated: Jun 25, 2008

Practice Location

Address: 1118 NW 16TH ST
City: Fruitland
State: Idaho
ZIP Code: 83619-2271
Phone: (208) 452-6851

Authorized Official

Name: MARK DALLEY
Title: CEO
Phone: (541) 881-7020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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