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Organization

RMHW MERIDIAN SOUTH LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIN J PRETTY WEASEL (COO)
(208) 938-5680
Entity
Organization

Contact information

Practice address
2985 S. MERIDIAN RD., STE 100, MERIDIAN, ID 83642-7088
(208) 287-9444
(208) 287-6570
Mailing address
951 E. PLAZA DR., STE 110, EAGLE, ID 83616-6567
(208) 938-5680
(208) 938-5679

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
02/29/2008
Last updated
07/11/2018
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