Organization
CHERRY LANE FAMILY CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MCHUGH M.D. (OWNER)
(208) 884-4800
Entity
Organization
Contact information
Practice address
1001 N MERIDIAN RD, MERIDIAN, ID 83642-1610
(208) 884-4800
(208) 884-4802
Mailing address
1001 N MERIDIAN RD, MERIDIAN, ID 83642-1610
(208) 884-4800
(208) 884-4802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
09/14/2010
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