Organization
VIRTARE HEALTH PHYSICIAN SERVICES OF IDAHO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANKLIN MOSES MBBS (CEO)
(855) 745-8400
Entity
Organization
Contact information
Practice address
3597 E MONARCH SKY LN STE 240, MERIDIAN, ID 83646-1055
(855) 745-8400
Mailing address
10890 THORNMINT RD, SAN DIEGO, CA 92127-2402
(855) 745-8400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
06/07/2024
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