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1649995101
LANDMARK MEDICAL OF IDAHO PC
BOISE, ID
NPI
1649995101
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Entity Type
Organization
Authorized Contact
MICHAEL LE
Chief Medical Officer
657-400-5180
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2022-10-07
Last Update Date
2022-10-07
Business Address
LANDMARK MEDICAL OF IDAHO PC
322 E FRONT ST STE 400
BOISE, ID 83702-7370
Phone number: 657-400-5180
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Mailing Address
LANDMARK MEDICAL OF IDAHO PC
7755 CENTER AVE STE 630
HUNTINGTON BEACH, CA 92647-9152
Phone number:
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