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1780871392
BOYD K SOUTHWICK
IDAHO FALLS, ID
NPI
1780871392
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Entity Type
Organization
Authorized Contact
BOYD K SOUTHWICK
Owner
208-552-7700
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-09-27
Last Update Date
2007-09-27
Business Address
BOYD K SOUTHWICK
3614 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7573
Phone number: 208-552-7700
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Mailing Address
BOYD K SOUTHWICK
3614 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7573
Phone number: 208-552-7700
Copy
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