Organization
ASHTON FAMILY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL M PACKER M.D. (OWNDER)
(208) 356-9231
Entity
Organization
Contact information
Practice address
24 SOUTH 8TH STR, ASHTON, ID 83420-0610
(208) 652-3396
(208) 652-7924
Mailing address
PO BOX 610, ASHTON, ID 83420-0610
(208) 652-3396
(208) 652-7924
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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