Organization
MICRON HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA BRAHE RN (COO)
(208) 367-7939
Entity
Organization
Contact information
Practice address
8000 S FEDERAL WAY, BOISE, ID 83716-9632
(208) 368-5656
(208) 368-5607
Mailing address
8000 S FEDERAL WAY, BOISE, ID 83716-9632
(208) 368-5656
(208) 368-5607
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
ID
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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