Organization
PREMIER MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC DANIEL MOORE (CEO)
(509) 464-9935
Entity
Organization
Contact information
Practice address
2201 N IRONWOOD PL STE 200, COEUR D ALENE, ID 83814-2670
(208) 274-5839
(208) 274-9125
Mailing address
1846 1ST ST STE 100 #187360, IDAHO FALLS, ID 83401
(208) 274-5839
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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