MADISON EAR NOSE AND THROAT CLINIC

REXBURG, ID
NPI1265458400
Entity TypeOrganization
Authorized ContactDEBBIE SUE BULSTRODE
Office Manager
208-656-9646
Organization Subpart ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: ID  40)
Enumeration Date2006-07-14
Last Update Date2012-01-17
Business Address
MADISON EAR NOSE AND THROAT CLINIC
30 MADISON PROFESSIONAL PARK
REXBURG, ID 83440-2058
Phone number: 208-656-9646
Mailing Address
MADISON EAR NOSE AND THROAT CLINIC
30 MADISON PROFESSIONAL PARK
REXBURG, ID 83440-0828
Phone number: 208-656-9646
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