Physician Management Services of Idaho, LLC
Physician Management Services of Idaho, LLC provides Family Medicine Physician services in Shoshone, Idaho. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
113 S Apple StShoshone, ID 83352-5287
Phone: (888) 829-8550
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 |
|---|
Record details
| NPI number | 1215688346 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Vaxcare Corporation |
| Authorized official | Brett Kenefick — President · (888) 829-8550 |
| NPI enumerated | January 11, 2022 |
| Last updated in NPPES | January 11, 2022 |
| Certification date | January 11, 2022 |
| Mailing address | 3113 Lawton Rd, Orlando, FL 32803-3531 |
Other providers in Shoshone
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Keith E Davis, MD
113 S Apple St, Shoshone, ID 83352-5287 · (208) 886-2224