BLACK CANYON FAMILY MEDICINE PC

Family Medicine

Active Organization
NPI: 1649300138

Practice Address

119 N WARDWELL AVE
Emmett, ID 83617

Phone: (208) 365-6311

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes -

Frequently Asked Questions

NPI 1649300138 is the National Provider Identifier for BLACK CANYON FAMILY MEDICINE PC, a Family Medicine provider located in Emmett, ID. This NPI was enumerated on March 6, 2007.

Quick Facts

NPI
1649300138
Type
Organization
Enumerated
Mar 6, 2007
Last Updated
Aug 22, 2020

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