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1417737594
MOMENTUM MEDICAL GROUP OF IDAHO LLC
BOISE, ID
NPI
1417737594
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Entity Type
Organization
Authorized Contact
HEATHER BEARD
Billing Service
208-880-0883
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2023-10-04
Last Update Date
2024-01-10
Business Address
MOMENTUM MEDICAL GROUP OF IDAHO LLC
8854 W EMERALD ST STE 275
BOISE, ID 83704-4860
Phone number: 208-375-3201
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Mailing Address
MOMENTUM MEDICAL GROUP OF IDAHO LLC
8854 W EMERALD ST STE 140
BOISE, ID 83704-4845
Phone number:
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