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1477690899
PAULA BRUTZ PHELPS
POCATELLO, ID
NPI
1477690899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: ID PA-166)
Enumeration Date
2007-02-01
Last Update Date
2018-06-19
Business Address
MRS. PAULA BRUTZ PHELPS PA
1151 HOSPITAL WAY SUITE D, SUITE 201
POCATELLO, ID 83201-5091
Phone number: 208-478-2472
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Mailing Address
MRS. PAULA BRUTZ PHELPS PA
PO BOX 4908
POCATELLO, ID 83205-4908
Phone number: 208-236-1600
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