| Lee Self Md Pa | |
|
2020 S Johns Ave Ste B Emmett ID 83617-9410 | |
| (208) 425-7507 | |
| (208) 584-9341 |
| Full Name | Lee Self Md Pa |
|---|---|
| Speciality | Specialist |
| Location | 2020 S Johns Ave Ste B, Emmett, Idaho |
| Authorized Official Name and Position | Lee Self (PRESIDENT) |
| Authorized Official Contact | 2084257507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Self Md Pa 23000 Sweet Ola Hwy Ola ID 83657-5027 Ph: (208) 425-7507 | Lee Self Md Pa 2020 S Johns Ave Ste B Emmett ID 83617-9410 Ph: (208) 425-7507 |
| NPI Number | 1346400744 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 03/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346400744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 174400000X | Specialist | M7844 (Idaho) | Primary |
Family Services Treatment Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2031 E Quail Run Rd, Emmett, ID 83617 Phone: 208-365-2525 Fax: 208-365-2234 | |
Walter Knox Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 N Wardwell Ave, Emmett, ID 83617 Phone: 208-365-6311 Fax: 208-365-1003 | |
The Smith Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 N Wardwell Ave, Emmett, ID 83617 Phone: 208-365-6311 | |
Gem Family Practice, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 S Washington Ave, Emmett, ID 83617 Phone: 208-365-3455 Fax: 208-365-3422 | |
Walter Knox Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 N Wardwell Ave, Emmett, ID 83617 Phone: 208-365-6311 | |
Idaho Behavioral Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 S Johns Ave, Emmett, ID 83617 Phone: 208-343-2737 Fax: 208-342-3238 | |
Gem Vision, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 316 S Washington Ave, Emmett, ID 83617 Phone: 208-365-8865 |