Organization
TREASURE VALLEY FAMILY HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SCOTT HOWARD NP (MEMBER)
(208) 631-6396
Entity
Organization
Contact information
Practice address
1055 N ECHOHAWK WAY, EAGLE, ID 83616-5456
(208) 631-6396
Mailing address
1055 N ECHOHAWK WAY, EAGLE, ID 83616-5456
(208) 631-6396
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
W104488
ID
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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