Eagle Family Medicine P A
Eagle Family Medicine P A is a Family Medicine Physician in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
Practice location Address checks out
100 Cottonwood Ct Ste 100Eagle, ID 83616-6576
Phone: (208) 939-3197
Fax: (208) 939-3263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence M-7050 (ID) |
|---|
Record details
| NPI number | 1417054693 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shawn Nowierski — Owner · (208) 939-3197 |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | January 5, 2015 |
| Mailing address | 100 Cottonwood Ct, Suite 100, Eagle, ID 83616-6576 |
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