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1528127057
GREENWALD NEUROSURGICAL PC
IDAHO FALLS, ID
NPI
1528127057
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Entity Type
Organization
Authorized Contact
JANEENE ANNE DITMORE
Office Manager
208-535-4800
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2006-12-08
Last Update Date
2009-06-25
Business Address
GREENWALD NEUROSURGICAL PC
3155 CHANNING WAY SUITE B
IDAHO FALLS, ID 83404-7561
Phone number: 208-535-4800
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Mailing Address
GREENWALD NEUROSURGICAL PC
3155 CHANNING WAY SUITE B
IDAHO FALLS, ID 83404-7561
Phone number: 208-535-4800
Copy
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