BURN AND RECONSTRUCTIVE CENTERS OF IDAHO, PLLC

IDAHO FALLS, ID
NPI1902360639
Entity TypeOrganization
Authorized ContactSHAWN FAGAN
Owner/Md
706-863-9595
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
Enumeration Date2019-01-28
Last Update Date2022-10-11
Business Address
BURN AND RECONSTRUCTIVE CENTERS OF IDAHO, PLLC
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 706-863-9595
Mailing Address
BURN AND RECONSTRUCTIVE CENTERS OF IDAHO, PLLC
PO BOX 12358
AUGUSTA, GA 30914-2358
Phone number: 706-863-9595
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