Organization
NEW PLYMOUTH CLINIC
Active
Organization
NEW PLYMOUTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY STERNES PA-C (OWNER)
(208) 631-5375
Entity
Organization
Contact information
Practice address
213 N PLYMOUTH AVE, NEW PLYMOUTH, ID 83655-5532
(208) 631-5375
Mailing address
8611 DEWEY RD, EMMETT, ID 83617-8855
(208) 631-5375
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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