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1225257652
DIABETES AND INTERNAL MEDICINE
POCATELLO, ID
NPI
1225257652
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Entity Type
Organization
Authorized Contact
SHERWIN D'SOUZA
President
208-236-1600
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2007-04-24
Last Update Date
2010-02-17
Business Address
DIABETES AND INTERNAL MEDICINE
2302 E. TERRY STREET
POCATELLO, ID 83201
Phone number: 208-236-1600
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Mailing Address
DIABETES AND INTERNAL MEDICINE
PO BOX 335
POCATELLO, ID 83204-0335
Phone number: 208-236-1600
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