Senior Doc Idaho PC

NPI #1750961637 in Nampa, Idaho

Provider Information

NPI Number: 1750961637
Entity Type: Organization
Organization Name: Senior Doc Idaho PC
Primary Specialty: Family Medicine
Enumeration Date: Apr 13, 2021
Last Updated: Jan 13, 2025

Practice Location

Address: 4301 GARRITY BLVD STE 103
City: Nampa
State: Idaho
ZIP Code: 83687-9222
Phone: (855) 434-7763

Authorized Official

Name: JOHN GEISS
Title: OWNER/DOCTOR
Phone: (855) 434-7763

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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