MATERNAL FETAL SERVICES OF UTAH LLC

IDAHO FALLS, ID
NPI1467675082
Entity TypeOrganization
Authorized ContactJEFF RYDBURG
VP
615-373-7415
Organization Subpart ?No
Primary Taxonomy207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine
Enumeration Date2007-04-11
Last Update Date2007-11-05
Business Address
MATERNAL FETAL SERVICES OF UTAH LLC
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-6111
Mailing Address
MATERNAL FETAL SERVICES OF UTAH LLC
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-6111
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