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1497998215
ISAAC L ELAM
FRUITLAND, ID
NPI
1497998215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID M-11624)
Enumeration Date
2009-04-08
Last Update Date
2013-07-31
Business Address
Dr. ISAAC L ELAM MD
1210 NW 16TH ST
FRUITLAND, ID 83619-2202
Phone number: 208-452-8600
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Mailing Address
Dr. ISAAC L ELAM MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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