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Organization
DOCTORS CLINIC OF ELMORE COUNTY PLLC
Active
Organization
DOCTORS CLINIC OF ELMORE COUNTY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAYNE D ROBERTS D.O. (PHYSICIAN)
(208) 587-1500
Entity
Organization
Contact information
Practice address
2000 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647-3138
(208) 587-1500
(208) 587-3180
Mailing address
2000 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647-3138
(208) 587-1500
(208) 587-3180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-91
ID
363A00000X
Physician Assistant
PA-265
ID
Other
Enumeration date
12/28/2006
Last updated
02/25/2008
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