| River Medical Family Medicine, Pllc | |
|
100 Cottonwood Ct Bldg D Suite 150 Eagle ID 83616-6576 | |
| (208) 939-3314 | |
| (208) 939-3315 |
| Full Name | River Medical Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Cottonwood Ct Bldg D, Eagle, Idaho |
| Authorized Official Name and Position | Michael R. Minas (PHYSICIAN) |
| Authorized Official Contact | 2089393314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Medical Family Medicine, Pllc Po Box 1909 Eagle ID 83616-9108 Ph: (208) 939-3314 | River Medical Family Medicine, Pllc 100 Cottonwood Ct Bldg D Suite 150 Eagle ID 83616-6576 Ph: (208) 939-3314 |
| NPI Number | 1194835546 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194835546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-8587 (Idaho) | Primary |
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