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1578294534
DISPATCHHEALTH-IDAHO PC
LOUISVILLE, KY
NPI
1578294534
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Entity Type
Organization
Authorized Contact
BRUCE ALLEN JOHNSON
AO
303-589-4149
Organization Subpart ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-06-21
Last Update Date
2023-08-21
Business Address
DISPATCHHEALTH-IDAHO PC
9100 MARKSFIELD RD
LOUISVILLE, KY 40222-5299
Phone number: 208-268-8024
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Mailing Address
DISPATCHHEALTH-IDAHO PC
3825 N LAFAYETTE ST
DENVER, CO 80205-3316
Phone number: 303-500-1518
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