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1306010046
PEINE OSTEOPATHIC MEDICINE PLLC
EAGLE, ID
NPI
1306010046
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Entity Type
Organization
Authorized Contact
CHRISTOPHER C PEINE
Owner
208-947-0925
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID O-0366)
Enumeration Date
2008-04-14
Last Update Date
2008-04-14
Business Address
PEINE OSTEOPATHIC MEDICINE PLLC
450 W STATE ST SUITE 250
EAGLE, ID 83616-7057
Phone number: 208-947-0925
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Mailing Address
PEINE OSTEOPATHIC MEDICINE PLLC
450 W STATE ST SUITE 250
EAGLE, ID 83616-7057
Phone number: 208-947-0925
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