Psc Radiate - Primary Care in Ammon, ID

Psc Radiate is a primary clinic (Family Medicine) in Ammon, Idaho. The current practice location for Psc Radiate is 3040 E 17th St Ste A, Ammon, Idaho. For appointments, you can reach them via phone at (208) 557-0998. The mailing address for Psc Radiate is 3040 E 17th St Ste A, Ammon, Idaho and phone number is (208) 557-0998.

Psc Radiate is licensed to practice in Idaho (license number M3801) and its NPI number is 1235472895. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (208) 557-0998.

Contact Information

Psc Radiate
3040 E 17th St Ste A
Ammon
ID 83406-6760
(208) 557-0998
Not Available

Primary Care Clinic Profile

Full NamePsc Radiate
SpecialityFamily Medicine
Location3040 E 17th St Ste A, Ammon, Idaho
Authorized Official Name and PositionKatie Davenport (BILLING)
Authorized Official Contact2085202636
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Psc Radiate
3040 E 17th St Ste A
Ammon
ID 83406-6760

Ph: (208) 557-0998
Psc Radiate
3040 E 17th St Ste A
Ammon
ID 83406-6760

Ph: (208) 557-0998

NPI Details:

NPI Number1235472895
Provider Enumeration Date04/02/2013
Last Update Date04/02/2013

Medical Identifiers

Medical identifiers for Psc Radiate such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235472895NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine M3801 (Idaho)Primary

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Family Medicine in Ammon, ID

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