ADD CLINIC OF IDAHO is a family nurse practitioner in Meridian, ID. ADD CLINIC OF IDAHO NPI is 1801567029. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1450 W USTICK RD
UNIT 102
MERIDIAN, ID
ZIP 83646
Phone: (858) 207-8861
The provider's authorized official is Cody D Mattingly .
The authorized official title is Owner and has the following contact phone number (858) 207-8861.
The CLIA number assigned to this NPI record is 13D2284741 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/27/2021 and was last updated on 9/27/2021.