Organization
WELL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D CLAYTON (MANAGING MEMBER)
(208) 818-4485
Entity
Organization
Contact information
Practice address
579 W HAYDEN AVE, HAYDEN, ID 83835-9726
(208) 772-6015
Mailing address
579 W HAYDEN AVE, HAYDEN, ID 83835-9726
(208) 772-6015
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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