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1518973338
ADA WEST DERMATOLOGY, PC
MERIDIAN, ID
NPI
1518973338
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Entity Type
Organization
Authorized Contact
COLLEEN JONES
CFO
208-884-3376
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: ID M5986)
Enumeration Date
2006-08-01
Last Update Date
2022-11-11
Business Address
ADA WEST DERMATOLOGY, PC
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642-6457
Phone number: 208-884-3376
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Mailing Address
ADA WEST DERMATOLOGY, PC
1618 S. MILLENNIUM WAY SUITE 100
MERIDIAN, ID 83642-6457
Phone number: 208-884-3376
Copy
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