Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eagle Internal Medicine, PLLC

Organization Internal Medicine Physician · NPI 1609004597

Eagle Internal Medicine, PLLC is an Internal Medicine Physician in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2009.

Licensed in
ID
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1025 S Bridge Way Pl Ste 100
Eagle, ID 83616-6834
Phone: (208) 938-0090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence M10058 (ID)

Record details

NPI number1609004597
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Patmas — President · (208) 938-0090
NPI enumeratedJune 30, 2009
Last updated in NPPESJune 30, 2009
Mailing address1025 S. Bridgeway Pl., Suite 100, Eagle, ID 83616

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