STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
Ambulatory Health at 700, Thomas, ID

License number
Idaho 17
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: LYNN D SHIELDS
Title: PATIENT ACCOUNTS SPECIALIST
Phone: (208) 785-8462
Address
Address
700 E. ALICE BOX 400, Thomas, ID 83221
National Provider ID: 1538225545
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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