Organization
FREMONT MEDICAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE GUDMUNSON FNP-C (OWNER/ NURSE PRACTITIONER)
(208) 624-2969
Entity
Organization
Contact information
Practice address
30 W MAIN ST, SAINT ANTHONY, ID 83445-2113
(208) 624-2969
Mailing address
30 W MAIN ST, SAINT ANTHONY, ID 83445-2113
(208) 624-2969
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
12/08/2022
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