MACHEN FAMILY MEDICINE, PC

IDAHO FALLS, ID
NPI1013204445
Entity TypeOrganization
Authorized ContactSHANE G MACHEN
Owner
208-522-7666
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  O-0611)
Enumeration Date2011-07-06
Last Update Date2012-04-26
Business Address
MACHEN FAMILY MEDICINE, PC
1995 E 17TH ST STE A
IDAHO FALLS, ID 83404-6493
Phone number: 208-522-7666
Mailing Address
MACHEN FAMILY MEDICINE, PC
1995 E 17TH ST STE A
IDAHO FALLS, ID 83404-6493
Phone number: 208-522-7666
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