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1053493809
DJ MARC CARDINAL, MD PA
BLACKFOOT, ID
NPI
1053493809
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Entity Type
Organization
Authorized Contact
DJ MARC CARDINAL
President
208-785-3810
Organization Subpart ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
Enumeration Date
2006-10-20
Last Update Date
2011-10-20
Business Address
DJ MARC CARDINAL, MD PA
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-785-3810
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Mailing Address
DJ MARC CARDINAL, MD PA
PO BOX 2896
IDAHO FALLS, ID 83403-2896
Phone number: 208-523-4906
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