Ikdo Star Llc
Specialty details in registry · Star, ID
At a glance
12190 W Evely Pines Ln, Star, ID 83669-6126
NPPES record updated May 8, 2020. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
12190 W Evely Pines LnStar, ID 83669-6126
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 1223P0221X
- Enumeration date
- Apr 4, 2019
- Record updated
- May 8, 2020
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
1223P0221X · Primary
Specialty details in registry
1223X0400X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
12190 W Evely Pines LnStar, ID 83669-6126
- Phone
- (208) 884-4466
Mailing address
3289 N TOWERBRIDGE WAYMERIDIAN, ID 836468347
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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