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

DR. MICK L. TIEGS, INC., PS

Active Organization

DR. MICK L. TIEGS, INC., PS is a Health Service Clinic organization located in BOISE, Idaho. NPI 1689709735 is currently active in the NPPES registry. Verify at CMS.

Health Service Clinic · BOISE, ID

Registration Details

NPI Number
1689709735
Provider Type
Organization
NPI Issued
Feb 22, 2007 (19.486046941897 yrs)
Last Updated
Feb 4, 2008
Licenses
3119 (WA)
CHIA-1056 (ID)

Practice Information

Address
2301 N 36TH ST
BOISE, ID, 837035207
Browse ID providers · Browse ZIP 83703
Phone
2085718418
Fax
2083445277
Primary Specialty
Health Service Clinic
261QH0100X
Additional Specialty
Health Service Clinic
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.