Riverside Primary Care Adult and Geriatric Medicine Plllp
Riverside Primary Care Adult and Geriatric Medicine Plllp is a Geriatric Medicine (Family Medicine) Physician in Boise, Idaho. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1673 W Shoreline Dr Ste 100Boise, ID 83702-6749
Phone: (208) 593-3054
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Specialties & licences
| Geriatric Medicine (Family Medicine) Physician (primary) | Taxonomy 207QG0300X |
|---|
Record details
| NPI number | 1003693961 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jessica Long — Co-Owner · (208) 850-1940 |
| NPI enumerated | September 13, 2023 |
| Last updated in NPPES | September 13, 2023 |
| Certification date | September 13, 2023 |
| Mailing address | 1673 W Shoreline Dr Ste 100, Boise, ID 83702-6749 |
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