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1821645870
BENJAMIN J ATWOOD
IDAHO FALLS, ID
NPI
1821645870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID pa1770)
Enumeration Date
2019-08-23
Last Update Date
2024-04-04
Business Address
BENJAMIN J ATWOOD PA
3446 S 15TH E
IDAHO FALLS, ID 83404-8262
Phone number: 208-522-6335
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Mailing Address
BENJAMIN J ATWOOD PA
3446 S 15TH E
IDAHO FALLS, ID 83404-8262
Phone number: 208-522-6335
Copy
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