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1811932411
IDAHO FALLS CLINIC, P.A.
IDAHO FALLS, ID
NPI
1811932411
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Entity Type
Organization
Authorized Contact
CHRISTINE C. CLARK
Administrator
208-522-7310
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2006-06-18
Last Update Date
2020-08-22
Business Address
IDAHO FALLS CLINIC, P.A.
2001 S WOODRUFF AVE SUITE #15
IDAHO FALLS, ID 83404-6374
Phone number: 208-522-7310
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Mailing Address
IDAHO FALLS CLINIC, P.A.
2001 S WOODRUFF AVE SUITE #15
IDAHO FALLS, ID 83404-6374
Phone number: 208-522-7310
Copy
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