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1194835546
RIVER MEDICAL FAMILY MEDICINE, PLLC
EAGLE, ID
NPI
1194835546
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Entity Type
Organization
Authorized Contact
MICHAEL R. MINAS
Physician
208-939-3314
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M-8587)
Enumeration Date
2006-08-30
Last Update Date
2011-08-01
Business Address
RIVER MEDICAL FAMILY MEDICINE, PLLC
100 COTTONWOOD CT BLDG D SUITE 150
EAGLE, ID 83616-6576
Phone number: 208-939-3314
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Mailing Address
RIVER MEDICAL FAMILY MEDICINE, PLLC
PO BOX 1909
EAGLE, ID 83616-9108
Phone number: 208-939-3314
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