Organization
AMMON MEDICAL AND URGENT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY N AMIEL M.D. (OWNER)
(208) 529-2828
Entity
Organization
Contact information
Practice address
3456 E 17TH ST, SUITE 125, AMMON, ID 83406-6757
(208) 529-2828
(208) 529-3890
Mailing address
3456 E 17TH ST, SUITE 125, AMMON, ID 83406-6757
(208) 529-2828
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
M6533
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807158800
—
ID
Enumeration date
06/12/2007
Last updated
12/12/2017
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