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1841747540
ANTHONY R BERRETT
BLACKFOOT, ID
NPI
1841747540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-09-09
Last Update Date
2024-09-16
Business Address
ANTHONY R BERRETT PA-C
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-785-4100
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Mailing Address
ANTHONY R BERRETT PA-C
2730 CHANNING WAY
IDAHO FALLS, ID 83404-5049
Phone number: 208-542-7100
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