Organization
FAMILY MEDICAL CARE CLINICS CORPORATION A PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN L TORQUATO MD (PRESIDENT)
(208) 772-7850
Entity
Organization
Contact information
Practice address
265 W PRAIRIE SHOPPING CTR, HAYDEN, ID 83835-9855
(208) 772-7850
(208) 772-2313
Mailing address
PO BOX 38, HAYDEN, ID 83835-0038
(208) 772-7850
(208) 772-2313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/14/2017
Last updated
03/17/2018
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