Organization
CHERRY HEIGHTS FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHLIA DENNIS (DELEGATED OFFICIAL)
(082) 650-4888
Entity
Organization
Contact information
Practice address
1560 N CRESTMONT DR STE A, MERIDIAN, ID 83642-2178
(208) 650-4888
(208) 650-4892
Mailing address
1560 N CRESTMONT DR STE A, MERIDIAN, ID 83642-2178
(208) 650-4888
(208) 650-4892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
11/01/2024
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