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1174142244
NIKOLAUS KONRAD NEUDORF
TWIN FALLS, ID
NPI
1174142244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID M-17802)
Enumeration Date
2020-04-09
Last Update Date
2024-08-07
Business Address
NIKOLAUS KONRAD NEUDORF MD
801 POLE LINE RD W
TWIN FALLS, ID 83301-5810
Phone number: 208-814-4100
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Mailing Address
NIKOLAUS KONRAD NEUDORF MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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