Organization
MERCY PHYSICIAN GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE C MCCLURE (EXECUTIVE DIRECTOR)
(208) 463-5549
Entity
Organization
Contact information
Practice address
4400 E FLAMINGO AVE, SUITE 301, NAMPA, ID 83687-9203
(208) 465-6970
(208) 465-6990
Mailing address
4400 E FLAMINGO AVE, SUITE 301, NAMPA, ID 83687-9203
(208) 465-6970
(208) 465-6990
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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