EAGLE FAMILY MEDICINE P A
Family Medicine
Active
Organization
NPI: 1417054693
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | M-7050 (ID) |
Frequently Asked Questions
NPI 1417054693 is the National Provider Identifier for EAGLE FAMILY MEDICINE P A, a Family Medicine provider located in Eagle, ID. This NPI was enumerated on September 20, 2006.
Quick Facts
- NPI
- 1417054693
- Type
- Organization
- Enumerated
- Sep 20, 2006
- Last Updated
- Jan 5, 2015
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COLTON CHARLES, DMD
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MS. BETH LANDIS, NP
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DR. SHAWN NORD, D.C.
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REVIVE WELLNESS AND AESTHETICS
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