Idaho Sports Medicine | |
875 Perimeter Dr # Ms 2302 Moscow ID 83844-9803 | |
(972) 367-4845 | |
Not Available |
Full Name | Idaho Sports Medicine |
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Speciality | General Practice |
Location | 875 Perimeter Dr # Ms 2302, Moscow, Idaho |
Authorized Official Name and Position | Mouzon Bass (ADMINISTRATOR) |
Authorized Official Contact | 9723674845 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Idaho Sports Medicine 15305 Dallas Pkwy Ste 800 Addison TX 75001-6415 Ph: (972) 367-4845 | Idaho Sports Medicine 875 Perimeter Dr # Ms 2302 Moscow ID 83844-9803 Ph: (972) 367-4845 |
NPI Number | 1548762867 |
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Provider Enumeration Date | 03/02/2018 |
Last Update Date | 12/17/2021 |
Identifier | Type | State | Issuer |
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1548762867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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