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Organization
HEALTHCARE WITH HEART LLC
Active
Organization
HEALTHCARE WITH HEART LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD EUGENE CARROLL M.D. (OWNER)
(208) 989-0070
Entity
Organization
Contact information
Practice address
823 CENTER AVE, PAYETTE, ID 83661-2535
(208) 642-3396
(208) 642-9060
Mailing address
823 CENTER AVE, PAYETTE, ID 83661-2535
(208) 642-3396
(208) 642-9060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M4116
ID
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
N19189
ID
Other
Enumeration date
05/23/2007
Last updated
06/14/2022
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