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Organization
FAMILY CARE CLINIC
Active
Organization
FAMILY CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE MILLER (OFFICE MANAGER)
(208) 321-0634
Entity
Organization
Contact information
Practice address
8050 W RIFLEMAN ST STE 100, BOISE, ID 83704-9000
(208) 321-0634
(208) 321-1082
Mailing address
8050 W RIFLEMAN ST STE 100, BOISE, ID 83704-9000
(208) 321-0634
(208) 321-1082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/29/2009
Last updated
01/07/2013
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