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Organization

IDAHO FRONTIER WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BONNIE J HOEWING NP (OWNER)
(000) 000-0000
Entity
Organization

Contact information

Practice address
7 N 4TH ST E STE 102, HOMEDALE, ID 83628-1005
(208) 934-1985
(208) 568-2761
Mailing address
PO BOX 212, GREENLEAF, ID 83626-0212
(208) 934-1985
(208) 568-2761

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
08/22/2025
Last updated
08/25/2025
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