| Brightside Medical Of Michigan, P.c. | |
|
3295 W Elder St Ste 209 Boise ID 83705-4772 | |
| (415) 360-3348 | |
| Not Available |
| Full Name | Brightside Medical Of Michigan, P.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3295 W Elder St Ste 209, Boise, Idaho |
| Authorized Official Name and Position | Justin Bailey Hunt (PRESIDENT) |
| Authorized Official Contact | 5016142006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightside Medical Of Michigan, P.c. 2261 Market St Ste 10222 San Francisco CA 94114-1612 Ph: (415) 360-3348 | Brightside Medical Of Michigan, P.c. 3295 W Elder St Ste 209 Boise ID 83705-4772 Ph: (415) 360-3348 |
| NPI Number | 1962202721 |
|---|---|
| Provider Enumeration Date | 03/19/2025 |
| Last Update Date | 03/19/2025 |
| Certification Date | 03/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962202721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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