Direct Doctor Care Pllc

NPI #1871112094 in Middleton, Idaho

Provider Information

NPI Number: 1871112094
Entity Type: Organization
Organization Name: Direct Doctor Care Pllc
Primary Specialty: Family Medicine
Enumeration Date: Apr 9, 2020
Last Updated: Apr 9, 2020

Practice Location

Address: 509 S MIDDLETON RD STE 105
City: Middleton
State: Idaho
ZIP Code: 83644-6047
Phone: (208) 668-2080

Authorized Official

Name: ROGER WYATT, MD
Title: OWNER
Phone: (208) 965-4899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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