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1336273085
STEPHEN A DENAGY
AMMON, ID
NPI
1336273085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID M4915)
Enumeration Date
2007-03-15
Last Update Date
2015-04-03
Business Address
-- STEPHEN A DENAGY M4915
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7500
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Mailing Address
-- STEPHEN A DENAGY M4915
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7500
Copy