| Spear Tms | |
|
9321 N Government Way Ste E Hayden ID 83835-8263 | |
| (208) 502-2744 | |
| (208) 635-0135 |
| Full Name | Spear Tms |
|---|---|
| Speciality | Family Medicine |
| Location | 9321 N Government Way Ste E, Hayden, Idaho |
| Authorized Official Name and Position | Nicole Parquette (OWNER) |
| Authorized Official Contact | 2086199270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spear Tms 9321 N Government Way Ste E Hayden ID 83835-8263 Ph: (208) 502-2744 | Spear Tms 9321 N Government Way Ste E Hayden ID 83835-8263 Ph: (208) 502-2744 |
| NPI Number | 1164170486 |
|---|---|
| Provider Enumeration Date | 03/15/2022 |
| Last Update Date | 03/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164170486 | NPI | - | NPPES |
| 1841618501 | Medicaid | TX | |
| 1598779746 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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