NPI 1336797042

Brightview Senior Health

Organisation General Practice Physician Eagle, ID

Practice location

Address: 1983 N Synergy Pl, Eagle, ID 83616-7332
Phone: (208) 509-8987
Fax: (208) 225-6858
Mailing address: 141 N Palmetto Ave Unit 602, Eagle, ID 83616-8025

Authorised official

Name: Louise Ye-Liew
Title: DO, Owner
Phone: (208) 509-8987

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Idaho →

Registry record

NPI: 1336797042
Entity type: Organization
NPI issued: 27 Aug 2019
Record last updated: 9 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.