Organization
TREASURE VALLEY FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN KEITH CROWNOVER MD (OWNER/PRESIDENT/PHYSICIAN)
(208) 895-0050
Entity
Organization
Contact information
Practice address
2428 N STOKESBERRY PL, MERIDIAN, ID 83646-5035
(208) 895-0050
(855) 543-3086
Mailing address
2428 N STOKESBERRY PL, MERIDIAN, ID 83646-5035
(208) 895-0050
(208) 887-0033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
M11819
ID
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
06/09/2014
Last updated
09/12/2023
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