Organization
ALIGN INTEGRATED MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD WOOLNER (CEO)
(208) 639-1397
Entity
Organization
Contact information
Practice address
750 W USTICK RD STE 100, MERIDIAN, ID 83646
(208) 639-1397
Mailing address
750 W USTICK RD STE 100, MERIDIAN, ID 83646-6133
(208) 639-1397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/05/2018
Last updated
07/07/2020
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