OrganizationActive
Milestone Medical LLC
NPI 1366274201 · Medical Specialty Clinic/Center · Ammon, ID
Provider details
- NPI number
- 1366274201
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jed Robertson, Ceo
Practice location
1499 Curlew Dr
Ammon, ID 83406-4764
Phone: (208) 529-3342
Fax: (208) 529-6631
Mailing address
1499 Curlew Dr
Ammon, ID 83406-4764
Registry dates
- Enumerated
- 2024-08-19
- Last updated
- 2024-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.