Tamarack Eagle Medical, NPI 1255621835
General Practice Physician in Tamarack, ID, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1255621835 |
| NPI Entity Type | Organization |
| Provider Name |
Tamarack Eagle Medical
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 311 Village Dr, Tamarack, ID, US |
| Provider Mailing Address | 5701 Willow Creek Rd, Eagle, ID, US, 836162025 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. M.D. Rourke Yeakley |
| Official Position | SOLE MEMBER |
| Phone | 208-724-7420 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | General Practice Physician |
| Classification | |
| Group | |
| License No. | M8190 |
| License State | ID |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
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