Owyhee Medical Clinic PA

NPI #1992728976 in Homedale, Idaho

Provider Information

NPI Number
1992728976
Entity Type
Organization
Organization Name
Owyhee Medical Clinic PA
Primary Specialty
Family Medicine
Enumeration Date
Jul 25, 2006
Last Updated
Jun 10, 2008

Practice Location

Address
106 WEST IDAHO AVENUE
State
Idaho
ZIP Code
83628
Phone
(208) 337-3233

Authorized Official

Name
JOHN F NOAK, MD
Title
OWNER
Phone
(208) 337-3233

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