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Organization

PEARL HEALTH CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ZAKERY WARREN (OWNER)
(208) 346-7500
Entity
Organization

Contact information

Practice address
2705 E 17TH ST, AMMON, ID 83406-6601
(208) 346-7500
(208) 346-7501
Mailing address
2705 E 17TH ST, AMMON, ID 83406-6669
(208) 346-7500
(208) 346-7501

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1447426465
ID
Enumeration date
04/30/2008
Last updated
09/22/2025
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