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

Milestone Medical LLC

Organization Family Medicine Physician · NPI 1366274201

Milestone Medical LLC is a Family Medicine Physician in Ammon, Idaho. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1499 Curlew Dr
Ammon, ID 83406-4764
Phone: (208) 529-3342
Fax: (208) 529-6631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X
Family Medicine Physician Taxonomy 207Q00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1366274201
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jed Robertson — Ceo · (208) 529-3342
NPI enumeratedAugust 19, 2024
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address1499 Curlew Dr, Ammon, ID 83406-4764

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