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1417558263
TIMOTHY MATTHEW NEIL MCCABE
MOSCOW, ID
NPI
1417558263
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Other Name
MATTHEW MCCABE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M-15471)
Enumeration Date
2020-11-06
Last Update Date
2021-02-08
Business Address
TIMOTHY MATTHEW NEIL MCCABE MD
1150 ALTURAS DR STE 101
MOSCOW, ID 83843-3263
Phone number: 208-310-7773
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Mailing Address
TIMOTHY MATTHEW NEIL MCCABE MD
607 W MAIN ST
GRANGEVILLE, ID 83530-1345
Phone number: 208-983-1700
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