IDAHO CENTER FOR REGENERATIVE MEDICINE

EAGLE, ID
NPI1407273147
Entity TypeOrganization
Authorized ContactROBERT J HAAKE
Physician
208-995-2802
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ID  207R00000X)
Enumeration Date2014-03-19
Last Update Date2016-03-17
Business Address
IDAHO CENTER FOR REGENERATIVE MEDICINE
868 E RIVERSIDE DR SUITE 170
EAGLE, ID 83616-5412
Phone number: 208-995-2802
Mailing Address
IDAHO CENTER FOR REGENERATIVE MEDICINE
868 E RIVERSIDE DR SUITE 170
EAGLE, ID 83616-5412
Phone number: 208-995-2802
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