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1871646976
MOSCOW MEDICAL, P.A.
MOSCOW, ID
NPI
1871646976
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Entity Type
Organization
Authorized Contact
KATHY CORNISH
Billing Manager
208-746-3653
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-01-19
Last Update Date
2009-03-31
Business Address
MOSCOW MEDICAL, P.A.
213 N MAIN ST
MOSCOW, ID 83843-2700
Phone number: 208-882-7565
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Mailing Address
MOSCOW MEDICAL, P.A.
213 N MAIN ST
MOSCOW, ID 83843-2700
Phone number: 208-882-7565
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