1st Clinic

NPI #1841444015 in Hayden, Idaho

Provider Information

NPI Number
1841444015
Entity Type
Organization
Organization Name
1st Clinic
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Nov 13, 2008
Last Updated
Nov 13, 2008

Practice Location

Address
265 W PRAIRIE SHOPPING CTR
City
Hayden
State
Idaho
ZIP Code
83835-9855
Phone
(208) 772-7850

Authorized Official

Name
DR. JOHN L. TORQUATO, MD
Title
CONTRACT PHYSICIAN
Phone
(208) 772-7850

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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