OLDE TOWN MEDICAL is an adult health nurse practitioner in Meridian, ID. OLDE TOWN MEDICAL NPI is 1245690544. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
124 E PINE AVE
MERIDIAN, ID
ZIP 83642-331
Phone: (208) 887-5422
Fax: (208) 888-6297
The provider's authorized official is Susan E Tomey .
The authorized official title is Provider/owner and has the following contact phone number (208) 888-5422.
The enumeration date for this NPI number is 2/29/2016 and was last updated on 3/11/2016.