Organization
RIVER MEDICAL FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R. MINAS MD (PHYSICIAN)
(208) 939-3314
Entity
Organization
Contact information
Practice address
100 COTTONWOOD CT BLDG D, SUITE 150, EAGLE, ID 83616-6576
(208) 939-3314
(208) 939-3315
Mailing address
PO BOX 1909, EAGLE, ID 83616-9108
(208) 939-3314
(208) 939-3315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-8587
ID
Other
Enumeration date
08/30/2006
Last updated
08/01/2011
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