JULIAN DEBRUYNKOPS MD PA

IDAHO FALLS, ID
NPI1932417607
Entity TypeOrganization
Authorized ContactJULIAN DE BRUYN KOPS
Director
208-522-6106
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  m3222)
Enumeration Date2010-09-16
Last Update Date2010-11-19
Business Address
JULIAN DEBRUYNKOPS MD PA
2065 E 17TH ST SUITE C
IDAHO FALLS, ID 83404-8042
Phone number: 208-522-6106
Mailing Address
JULIAN DEBRUYNKOPS MD PA
2065 E 17TH ST SUITE C
IDAHO FALLS, ID 83404-8042
Phone number: 208-522-6106
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