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1689022519
THOMAS DANIEL FIFE
CHALLIS, ID
NPI
1689022519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: ID PA-1371)
Enumeration Date
2016-06-01
Last Update Date
2020-07-21
Business Address
THOMAS DANIEL FIFE PA-C
611 CLINIC RD
CHALLIS, ID 83226
Phone number: 208-879-4351
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Mailing Address
THOMAS DANIEL FIFE PA-C
611 CLINIC RD
CHALLIS, ID 83226
Phone number: 208-879-4351
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