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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› Verified 8 days ago
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