BLACK CANYON MEDICAL GROUP PLLC

Family Medicine Physician

NPI: 1811419708Organization

Specialties, Licenses & Credentials

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

M9309(ID)

Contact & Hours

Address: 426 HIGHWAY 16
EMMETT, ID 83617
Phone: (208) 365-2735

Quick Facts

NPI: 1811419708
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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