Fit 4 Life Integrated Health Clinic
Family Medicine in Idaho Falls, ID. Organization (NPI-2).
NPI number1891192555
StatusActive
Last updated in NPPESNov 24, 2014
Details
- NPI
- 1891192555
- Entity type
- Organization (NPI-2)
- Legal business name
- Fit 4 Life Integrated Health Clinic
- Organization subpart
- No
- Enumeration date
- Nov 24, 2014
- Last updated
- Nov 24, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | N-29222 | ID | Yes |
Other names
- Fit 4 Life (Doing Business As)
Practice location
2086 E 25th StIdaho Falls, ID 83404-6490
Phone 208-391-3484
Mailing address
2086 E 25th StIdaho Falls, ID 83404-6490
Phone 208-391-3484
Authorized official
Monika Jarzmik
Manager
2083913484
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