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Organization
THE HEALTH CLINIC AT EAGLE
Active
Organization
THE HEALTH CLINIC AT EAGLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRENT MATTHEW DELONG DO (PHYSICIAN/MANAGING MEMBER)
(208) 379-3709
Entity
Organization
Contact information
Practice address
839 E WINDING CREEK DR STE 200, EAGLE, ID 83616-7236
(208) 379-3709
(208) 379-3614
Mailing address
9201 W STATE ST STE 114, BOISE, ID 83714-2527
(208) 379-3709
(208) 379-3614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/07/2026
Last updated
09/07/2026
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