NORTHRIDGE INTERNAL MEDICINE, PLLC

REXBURG, ID
NPI1033394713
Entity TypeOrganization
Authorized ContactRODNEY BATES
Member
208-656-8456
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ID  O0359)
Enumeration Date2007-12-31
Last Update Date2008-02-11
Business Address
NORTHRIDGE INTERNAL MEDICINE, PLLC
36 PROFESSIONAL PLZ STE-102
REXBURG, ID 83440-2049
Phone number: 208-656-8456
Mailing Address
NORTHRIDGE INTERNAL MEDICINE, PLLC
36 PROFESSIONAL PLZ STE-102
REXBURG, ID 83440-2049
Phone number: 208-656-8456
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