CHERRY LANE FAMILY CLINIC PA NPI 1962554063

NPI Information

CHERRY LANE FAMILY CLINIC, PA is a family medicine in Meridian, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHERRY LANE FAMILY CLINIC, PA NPI is 1962554063. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1001 N MERIDIAN RD
MERIDIAN, ID
ZIP 83642-610
Phone: (208) 884-4800
Fax: (208) 884-4802

The provider's authorized official is Timothy Mchugh .
The authorized official title is Owner and has the following contact phone number (208) 884-4800.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 9/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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