Tamarack Eagle Medical
Tamarack Eagle Medical is a Dentist in Tamarack, Idaho. Licensed in Idaho. Registered with an NPI since 2011.
- Licensed in
- ID
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
311 Village DrTamarack, ID 83615-5014
Phone: (208) 724-7420
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
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence M8190 (ID) |
|---|---|
| Dentist | Taxonomy 122300000X |
Record details
| NPI number | 1255621835 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rourke Yeakley — Sole Member · (208) 724-7420 |
| Other names | Tamarack Medical & Dental Clinic |
| NPI enumerated | April 15, 2011 |
| Last updated in NPPES | April 15, 2011 |
| Mailing address | 5701 Willow Creek Rd, Eagle, ID 83616-2025 |