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1750961637
SENIOR DOC IDAHO PC
NAMPA, ID
NPI
1750961637
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Entity Type
Organization
Authorized Contact
JOHN GEISS
Owner/Doctor
855-434-7763
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-04-13
Last Update Date
2025-01-13
Business Address
SENIOR DOC IDAHO PC
4301 GARRITY BLVD STE 103
NAMPA, ID 83687-9222
Phone number: 855-434-7763
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Mailing Address
SENIOR DOC IDAHO PC
5 HUTTON CENTRE DR STE 950
SANTA ANA, CA 92707-8714
Phone number: 558-434-7763
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