| Deb Elliott-pearson M.d., P.c. | |
|
516 Bank St Wallace ID 83873-2225 | |
| (208) 752-3016 | |
| (208) 753-1001 |
| Full Name | Deb Elliott-pearson M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 516 Bank St, Wallace, Idaho |
| Authorized Official Name and Position | Deborah Lois Elliott-pearson (CEO) |
| Authorized Official Contact | 2087523016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deb Elliott-pearson M.d., P.c. 516 Bank St Wallace ID 83873-2225 Ph: (208) 752-3016 | Deb Elliott-pearson M.d., P.c. 516 Bank St Wallace ID 83873-2225 Ph: (208) 752-3016 |
| NPI Number | 1619142452 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619142452 | NPI | - | NPPES |
| 805230000 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M7469 (Idaho) | Primary |