GARY W SOUCIE

BLACKFOOT, ID
NPI1255386082
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M-8585)
Enumeration Date2006-05-23
Last Update Date2007-07-08
Business Address
-- GARY W SOUCIE MD
1441 PARKWAY DR
BLACKFOOT, ID 83221-1667
Phone number: 208-785-2600
Mailing Address
-- GARY W SOUCIE MD
1441 PARKWAY DR
BLACKFOOT, ID 83221-1667
Phone number: 208-785-2600
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