SOUTHERN IDAHO MEDICINE PLLC

JEROME, ID
NPI1861105694
Entity TypeOrganization
Authorized ContactJESSICCA MARIE CRISMOR
Owner
208-308-7738
Organization Subpart ?No
Primary Taxonomy261Q00000X 
Enumeration Date2022-12-26
Last Update Date2022-12-26
Business Address
SOUTHERN IDAHO MEDICINE PLLC
207 E MAIN ST
JEROME, ID 83338-2334
Phone number: 208-308-7738
Mailing Address
SOUTHERN IDAHO MEDICINE PLLC
137 WOODRIDGE DR
TWIN FALLS, ID 83301-8156
Phone number: 208-308-7738
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