Organization
MEDICAL ASSOCIATES OF IDAHO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY L MARTINEAU (OWNER)
(208) 475-3181
Entity
Organization
Contact information
Practice address
1208 11TH ST S, NAMPA, ID 83651-4654
(208) 475-3181
Mailing address
1208 11TH ST S, NAMPA, ID 83651-4654
(208) 475-3181
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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