Timberlake Family Medicine

NPI #1932392933 in Athol, Idaho

Provider Information

NPI Number
1932392933
Entity Type
Organization
Organization Name
Timberlake Family Medicine
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Aug 22, 2007
Last Updated
Aug 22, 2007

Practice Location

Address
6101 E HIGHWAY 54 STE A
City
Athol
State
Idaho
ZIP Code
83801-8255
Phone
(208) 683-0800

Authorized Official

Name
MR. CHRISTOPHER RAY SUNDQUIST, PA-C
Title
OWNER
Phone
(208) 683-0800

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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