Organization
EAST MEETS WEST MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLE WATKINS DNP (OWNER)
(480) 430-3530
Entity
Organization
Contact information
Practice address
353 W IOWA AVE, NAMPA, ID 83686-2856
(480) 430-3530
Mailing address
3873 E RENWICK ST, MERIDIAN, ID 83642-6486
(480) 430-3530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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