NPI 1942259965

Premier Emergency Physicians of Idaho Medical Group

Organisation Emergency Medicine Physician Nampa, ID

Practice location

Address: 1512 12th Ave Rd, Nampa, ID 83686-6008
Phone: (208) 463-5100
Mailing address: 3916 State St Suite 300, Santa Barbara, CA 93105-5602

Authorised official

Name: Joseph Gatewood
Title: Enrollment
Phone: (800) 527-2145

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in Idaho →

Registry record

NPI: 1942259965
Entity type: Organization
NPI issued: 8 May 2006
Record last updated: 24 Mar 2008

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.