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1194773804
BEN H. GODFREY
BOISE, ID
NPI
1194773804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: ID M-7759)
Enumeration Date
2006-05-05
Last Update Date
2012-09-15
Business Address
BEN H. GODFREY MD
450 W STATE ST SUITE 100
BOISE, ID 83702-6056
Phone number: 208-939-1035
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Mailing Address
BEN H. GODFREY MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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