Organization
ACUTE CARE SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARKER R FILLMORE MD (DIRECTOR)
(208) 572-2272
Entity
Organization
Contact information
Practice address
1906 FAIRVIEW AVE STE 130, CALDWELL, ID 83605-5433
(208) 455-6583
Mailing address
141 N PALMETTO AVE #233, EAGLE, ID 83616
(208) 572-2272
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M13235
IDAHO BOARD OF MEDICINE
ID
Enumeration date
08/19/2024
Last updated
08/19/2024
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