Idahodhwbh3 Midlevel Group

NPI #1972631265 in Caldwell, Idaho

Provider Information

NPI Number
1972631265
Entity Type
Organization
Organization Name
Idahodhwbh3 Midlevel Group
Primary Specialty
Nurse Practitioner
Enumeration Date
Mar 1, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
3402 FRANKLIN RD
State
Idaho
ZIP Code
83605-6932
Phone
(208) 459-0092

Authorized Official

Name
MR. TODD L HURT, M.S.
Title
FIELD OPERATIONS MANAGER
Phone
(208) 455-7057

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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