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1336813047
IDAHO MEDICAL SPECIALISTS PC
MERIDIAN, ID
NPI
1336813047
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Entity Type
Organization
Authorized Contact
HIRENKUMAR ITALIA
Md
800-557-8950
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2021-08-05
Last Update Date
2021-08-30
Business Address
IDAHO MEDICAL SPECIALISTS PC
3597 E MONARCH SKY LN STE F-240
MERIDIAN, ID 83646-1053
Phone number: 202-935-1033
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Mailing Address
IDAHO MEDICAL SPECIALISTS PC
133 ROLLINS AVE STE 3
ROCKVILLE, MD 20852-4040
Phone number:
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