| East Idaho Physician Access Cloud Clinic | |
|
98 N Cambridge Dr Rigby ID 83442-5298 | |
| (208) 220-1057 | |
| (208) 225-4249 |
| Full Name | East Idaho Physician Access Cloud Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 98 N Cambridge Dr, Rigby, Idaho |
| Authorized Official Name and Position | Martin Angus Mangan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2082201057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Idaho Physician Access Cloud Clinic 98 N Cambridge Dr Rigby ID 83442-5298 Ph: (208) 220-1057 | East Idaho Physician Access Cloud Clinic 98 N Cambridge Dr Rigby ID 83442-5298 Ph: (208) 220-1057 |
| NPI Number | 1649847823 |
|---|---|
| Provider Enumeration Date | 06/07/2021 |
| Last Update Date | 06/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649847823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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