# INNERHEALTH MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265895775
- **Authorized official:** THOMAS ARCHIE MD (OWNER)
- **Authorized official phone:** (541) 482-2821

## Contact information

- **Practice address:** 180 WEST 1ST STREET, SUITE 206, KETCHUM, ID 83340
- **Practice address phone:** (541) 482-2821
- **Mailing address:** 180 WEST 1ST STREET, SUITE 206, KETCHUM, ID 83340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | M10114 | ID | — |
| 207Q00000X | Family Medicine Physician | M10114 | ID | Yes |

## Other

- **Enumeration date:** 04/01/2016
- **Last updated:** 04/01/2016