Organization
FAMILY CARE PHYSICIANS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES S IRWIN M.D. (OWNER/PRESIDENT)
(208) 324-1157
Entity
Organization
Contact information
Practice address
112 5TH AVE W, JEROME, ID 83338-1825
(208) 324-1157
(208) 324-3604
Mailing address
112 5TH AVE W, JEROME, ID 83338-1825
(208) 324-1157
(208) 324-3604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8041512
—
ID
05
—
8064244
—
ID
Enumeration date
10/03/2005
Last updated
10/14/2009
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