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1518021849
IDAHO EYE CENTER PA
IDAHO FALLS, ID
NPI
1518021849
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Entity Type
Organization
Authorized Contact
BRADLEY P GARDNER
Senior Vice President
208-524-2025
Organization Subpart ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
Enumeration Date
2006-12-21
Last Update Date
2008-08-20
Business Address
IDAHO EYE CENTER PA
2025 E 17TH ST
IDAHO FALLS, ID 83404
Phone number: 208-524-2025
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Mailing Address
IDAHO EYE CENTER PA
2025 E 17TH ST
IDAHO FALLS, ID 83404
Phone number: 208-524-2025
Copy
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