| Cottonwood Family Medicine | |
|
100 Cottonwood Court Suite 150 Boise ID 87616 | |
| (208) 995-2875 | |
| (208) 995-2874 |
| Full Name | Cottonwood Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Cottonwood Court, Boise, Idaho |
| Authorized Official Name and Position | Marcia Dee Price-miller (OWNER/OPERATOR) |
| Authorized Official Contact | 2089952875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottonwood Family Medicine 100 Cottonwood Court Suite 150 Boise ID 83616 Ph: (208) 995-2875 | Cottonwood Family Medicine 100 Cottonwood Court Suite 150 Boise ID 87616 Ph: (208) 995-2875 |
| NPI Number | 1922366707 |
|---|---|
| Provider Enumeration Date | 04/30/2012 |
| Last Update Date | 04/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922366707 | NPI | - | NPPES |
| 003874400 | Medicaid | ID | |
| 51276 | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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