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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EAGLE FAMILY MEDICINE P A

Active Organization

EAGLE FAMILY MEDICINE P A is a Family Medicine organization located in EAGLE, Idaho. NPI 1417054693 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · EAGLE, ID

Registration Details

NPI Number
1417054693
Provider Type
Organization
NPI Issued
Sep 20, 2006 (19.710596420942 yrs)
Last Updated
Jan 5, 2015
License
M-7050 (ID)

Practice Information

Address
100 COTTONWOOD CT
SUITE 100
EAGLE, ID, 836166576
Browse ID providers · Browse ZIP 83616
Phone
2089393197
Fax
2089393263
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in EAGLE, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.