JILLIAN MITKI

ST MARKS PROFESSIONAL SERVICES LLC

Dr JILLIAN MITKI is a female medical professional, specializing in Clinical Social Worker. She graduated in 2009.

Contact

ST MARKS PROFESSIONAL SERVICES LLC

3100 CHANNING WAY
IDAHO FALLS
ID
834047533

Tel: 2085296111

JILLIAN MITKI Information

Npi 1710231436
Pac Id 8527211754
Professional Enrollment Id I20170321002410
Last Name MITKI
First Name JILLIAN
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ST MARKS PROFESSIONAL SERVICES LLC
Group Practice Pac Id 1355248089
Number Of Group Practice Members 28
Line 1 Street Address 3100 CHANNING WAY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834047533
Phone Number 2085296111
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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