SUSAN BLAKE WACHTER

IDAHO FALLS, ID
NPI1740450014
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: UT  6825173-1205)
Enumeration Date2008-03-03
Last Update Date2014-01-13
Business Address
Dr. SUSAN BLAKE WACHTER M.D., Ph.D.
2985 CORTEZ AVE
IDAHO FALLS, ID 83404-7554
Phone number: 208-523-3373
Mailing Address
Dr. SUSAN BLAKE WACHTER M.D., Ph.D.
2985 CORTEZ AVE
IDAHO FALLS, ID 83404-7554
Phone number: 208-523-3373
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