IDAHO SKIN INSTITUTE OF CHUBBUCK

CHUBBUCK, ID
NPI1184375867
Entity TypeOrganization
Authorized ContactEARL STODDARD
Owner
208-238-7546
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2022-01-13
Last Update Date2022-01-13
Business Address
IDAHO SKIN INSTITUTE OF CHUBBUCK
147 W CHUBBUCK RD
CHUBBUCK, ID 83202-2314
Phone number: 208-238-7546
Mailing Address
IDAHO SKIN INSTITUTE OF CHUBBUCK
147 W CHUBBUCK RD
CHUBBUCK, ID 83202-2314
Phone number: 208-238-7546
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