BASIS INTERNAL MEDICINE LLC

EAGLE, ID
NPI1306385950
Entity TypeOrganization
Authorized ContactHARRY A LAZARTE
Owner
402-253-6329
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ID  M11082)
Enumeration Date2017-02-15
Last Update Date2021-03-24
Business Address
BASIS INTERNAL MEDICINE LLC
1036 E IRON EAGLE DR STE 107
EAGLE, ID 83616-6558
Phone number: 208-789-2131
Mailing Address
BASIS INTERNAL MEDICINE LLC
1036 E IRON EAGLE DR STE 107
EAGLE, ID 83616-6558
Phone number: 208-789-2131
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