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1508899295
GREG C BOETTCHER
GOODING, ID
NPI
1508899295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID 0237)
Enumeration Date
2006-07-08
Last Update Date
2018-07-10
Business Address
Mr. GREG C BOETTCHER DO
267 N CANYON DR
GOODING, ID 83330
Phone number: 208-934-4446
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Mailing Address
Mr. GREG C BOETTCHER DO
267 N CANYON DR
GOODING, ID 83330-5500
Phone number: 208-934-4446
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