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1134155666
BRENT H. GREENWALD
IDAHO FALLS, ID
NPI
1134155666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: ID M-6947)
Enumeration Date
2006-06-25
Last Update Date
2009-07-13
Business Address
Dr. BRENT H. GREENWALD M.D.
3155 CHANNING WAY SUITE B
IDAHO FALLS, ID 83404-7546
Phone number: 208-535-4800
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Mailing Address
Dr. BRENT H. GREENWALD M.D.
3155 CHANNING WAY SUITE B
IDAHO FALLS, ID 83404-7546
Phone number: 208-535-4800
Copy
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