Organization
QUIK-MED HEALTH CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY ANNE GILLEY RN,MSM,FNP-C (RN)
(208) 946-5100
Entity
Organization
Contact information
Practice address
104 E 4TH AVE, CLARK FORK, ID 83811
(208) 946-5100
Mailing address
PO BOX 567, CLARK FORK, ID 83811-0567
(208) 946-5100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2015
Last updated
11/02/2015
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