Organization
INDIAN CREEK FAMILY MEDICINE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D HOLDEN MD (OWNER)
(208) 922-5338
Entity
Organization
Contact information
Practice address
708 E WYTHE CREEK CT, STE. 103, KUNA, ID 83634-2473
(208) 922-5338
(208) 922-5340
Mailing address
708 E WYTHE CREEK CT, STE. 103, KUNA, ID 83634-2473
(208) 922-5338
(208) 922-5340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
ID
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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