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FAMILY & FUNCTIONAL MEDICINE OF IDAHO PLLC
Family Medicine Physician
NPI: 1114352242Organization
Specialties, Licenses & Credentials
Family Medicine PhysicianPrimary
Family Medicine
Code: 207Q00000X
0-O370(ID)
Contact & Hours
- Address
- 450 W STATE ST, SUITE 250
EAGLE, ID 83616 - Phone
- (208) 947-0925
Quick Facts
- NPI
- 1114352242
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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