EASTERN IDAHO REG MED CTR PS, LLC

IDAHO FALLS, ID
NPI1053352427
Entity TypeOrganization
Authorized ContactROBERT ENGLAND
VP
208-529-7147
Organization Subpart ?No
Primary Taxonomy207VX0201X Obstetrics & Gynecology, Gynecologic Oncology
Enumeration Date2006-06-09
Last Update Date2007-08-28
Business Address
EASTERN IDAHO REG MED CTR PS, LLC
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-7147
Mailing Address
EASTERN IDAHO REG MED CTR PS, LLC
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-7147
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