| Fortify Optimal Health | |
|
1189 Red Robin Ave Ammon ID 83401-5747 | |
| (619) 602-4520 | |
| Not Available |
| Full Name | Fortify Optimal Health |
|---|---|
| Speciality | Family Medicine |
| Location | 1189 Red Robin Ave, Ammon, Idaho |
| Authorized Official Name and Position | Susannah Hancock (CEO) |
| Authorized Official Contact | 6196024520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortify Optimal Health 784 South Clear Loop Ste R Post Falls ID 83854 Ph: (619) 602-4520 | Fortify Optimal Health 1189 Red Robin Ave Ammon ID 83401-5747 Ph: (619) 602-4520 |
| NPI Number | 1437945391 |
|---|---|
| Provider Enumeration Date | 04/17/2025 |
| Last Update Date | 04/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437945391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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