Seasons of Hope

NPI #1962705939 in Chubbuck, Idaho

Provider Information

NPI Number
1962705939
Entity Type
Organization
Organization Name
Seasons of Hope
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Dec 14, 2010
Last Updated
Dec 14, 2010

Practice Location

Address
4650 HAWTHORNE RD STE 3B
State
Idaho
ZIP Code
83202-2376
Phone
(208) 237-9833

Authorized Official

Name
MR. HEATH JACOB SOMMER, PH.D.
Title
CEO
Phone
(208) 237-9833

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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