IDAHO STREET MEDICAL CLINIC

NPI # 

Practice Address:

126 W. Idaho Ave

Homedale, ID, 83628-8362

Practice Phone:

208-337-7038

Practice Fax:

208-337-4652

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Health Service

Taxonomy Code:

261QH0100X