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1689866451
BENJAMIN M TIPPETS
BOISE, ID
NPI
1689866451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0214X Pediatrics, Pediatric Pulmonology
(Licence: ID O0573)
Enumeration Date
2007-08-15
Last Update Date
2012-08-21
Business Address
Dr. BENJAMIN M TIPPETS D.O.
100 E IDAHO ST SUITE 200
BOISE, ID 83712-6267
Phone number: 208-381-7011
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Mailing Address
Dr. BENJAMIN M TIPPETS D.O.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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