Family & Functional Medicine of Idaho PLLC
Family & Functional Medicine of Idaho PLLC provides Family Medicine Physician services in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2013.
- Licensed in
- ID
- In the registry since
- 2013
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
450 W State St Ste 250Eagle, ID 83616-7057 Not confirmed with CMS for 13 years — call before visiting
Phone: (208) 947-0925
Fax: (208) 947-0926
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 0-O370 (ID) |
|---|
Record details
| NPI number | 1114352242 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Angela House — Physician / Owner · (208) 947-0925 |
| NPI enumerated | September 9, 2013 |
| Last updated in NPPES | September 9, 2013 |
| Mailing address | 450 W State St, Suite 250, Eagle, ID 83616-7057 |
Other providers in Eagle
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Dr. Linda D Burke, MD
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-
Judith Lauren Chasin, MD
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-
Clinic at Eagle LLC
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-
Eagle Family Medicine P A
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-
Dr. Jamie L Faught, MD
2025 E Riverside Dr Ste 160, Eagle, ID 83616-7604 · (208) 900-9500
-
Dr. Martin J Gabica, MD
2323 E Buckskin Ct, Eagle, ID 83616-2931 · (208) 866-3913
-
Dr. Coleen D Hulbert, MD
3101 E State St Ste 1100, Eagle, ID 83616-6232 · (208) 473-3500
-
Dr. David R. Hulbert, MD
1895 McGrath Rd, Eagle, ID 83616-6243 · (208) 939-8200