MOUNTAIN STATE FAMILY MEDICINE, PC

GRANGEVILLE, ID
NPI1710917612
Entity TypeOrganization
Authorized ContactLEANNE L LEBLANC
President
208-983-5120
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2006-07-04
Last Update Date2020-08-22
Business Address
MOUNTAIN STATE FAMILY MEDICINE, PC
610 NW 2ND ST
GRANGEVILLE, ID 83530-1244
Phone number: 208-983-5120
Mailing Address
MOUNTAIN STATE FAMILY MEDICINE, PC
610 NW 2ND ST
GRANGEVILLE, ID 83530-1244
Phone number: 208-983-5120
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