| NPI | 1164531943 |
|---|---|
| Doing Business As | OB-GYN ASSOC OF IDAHO FALLS |
| Entity Type | Organization |
| Authorized Contact | TESS HIBBERT Assistant Office Manager 208-522-0747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-02-02 |