MOUNTAIN FALLS MEDICAL LLC

IDAHO FALLS, ID
NPI1932526373
Entity TypeOrganization
Authorized ContactCAULEEN MARIE STRADLING
Owner
208-403-2107
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2014-03-24
Last Update Date2014-03-24
Business Address
MOUNTAIN FALLS MEDICAL LLC
1995 E 17TH ST
IDAHO FALLS, ID 83404-6493
Phone number: 208-403-2107
Mailing Address
MOUNTAIN FALLS MEDICAL LLC
1034 E 800 N
SHELLEY, ID 83274-5304
Phone number: 208-403-2107
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