Physicians Clinic PLLC
Physicians Clinic PLLC is a Family Medicine Physician in Boise, Idaho. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4902 W State StBoise, ID 83703-3326
Phone: (208) 853-3100
Fax: (208) 853-3120
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1992895866 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Corinne Chastain — Office Manager · (208) 375-0500 |
| Other names | State Street Immediate Medical Care |
| NPI enumerated | October 13, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 4902 W State St, Boise, ID 83703-3326 |
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Kelly Pennings, DO
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Catherine Andrea Perry, MD
777 N Raymond St, Boise, ID 83704-9251 · (208) 514-2500
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Physicians Clinic PLLC
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Christopher Prokosch, MD
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