Organization
PREMISE HEALTH OF COLORADO MEDICAL, P.C.
Active
Other names
Micron Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
8000 S FEDERAL WAY # MS 1-706, BOISE, ID 83716-9632
(208) 368-5656
(208) 368-5607
Mailing address
8000 S FEDERAL WAY # MS 1-706, BOISE, ID 83716-9632
(208) 368-5656
(208) 368-5607
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2008
Last updated
08/15/2022
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