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1740580794
BLACKFOOT MEDICAL CLINIC SURGEONS
BLACKFOOT, ID
NPI
1740580794
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Entity Type
Organization
Authorized Contact
KERRY CASPERSON
Administrator
208-785-2600
Organization Subpart ?
Yes
Primary Taxonomy
208600000X Surgery
Enumeration Date
2010-10-25
Last Update Date
2010-10-25
Business Address
BLACKFOOT MEDICAL CLINIC SURGEONS
1441 PARKWAY DR
BLACKFOOT, ID 83221-1667
Phone number: 208-785-2600
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Mailing Address
BLACKFOOT MEDICAL CLINIC SURGEONS
1441 PARKWAY DR
BLACKFOOT, ID 83221-1667
Phone number: 208-785-2600
Copy
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