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1295597821
EVERNORTH CARE PROVIDERS - ARIZONA PC
BOISE, ID
NPI
1295597821
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Entity Type
Organization
Authorized Contact
GRACE BLUE
Credentialing Sr. Manager
773-292-4800
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2024-01-29
Last Update Date
2024-01-29
Business Address
EVERNORTH CARE PROVIDERS - ARIZONA PC
950 W BANNOCK ST STE 1100
BOISE, ID 83702-6140
Phone number: 773-292-4800
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Mailing Address
EVERNORTH CARE PROVIDERS - ARIZONA PC
730 COOL SPRINGS BLVD STE 500
FRANKLIN, TN 37067-7331
Phone number: 773-292-4800
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