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1124288758
MARC VAN FARNWORTH
POCATELLO, ID
NPI
1124288758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M-10859)
Enumeration Date
2008-06-17
Last Update Date
2014-12-09
Business Address
Dr. MARC VAN FARNWORTH MD
777 HOSPITAL WAY
POCATELLO, ID 83201-5175
Phone number: 208-239-1417
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Mailing Address
Dr. MARC VAN FARNWORTH MD
777 HOSPITAL WAY
POCATELLO, ID 83201-5175
Phone number: 208-239-1417
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