Organization
OWYHEE FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RORY HAWKER MD (OWNER)
(208) 422-7887
Entity
Organization
Contact information
Practice address
9858 W STATE ST, STAR, ID 83669-5210
(208) 286-9471
Mailing address
9858 W STATE ST, STAR, ID 83669-5210
(208) 286-9471
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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