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1942259965
PREMIER EMERGENCY PHYSICIANS OF IDAHO MEDICAL GROUP
NAMPA, ID
NPI
1942259965
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Entity Type
Organization
Authorized Contact
JOSEPH GATEWOOD
Enrollment
800-527-2145
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2006-05-08
Last Update Date
2008-03-24
Business Address
PREMIER EMERGENCY PHYSICIANS OF IDAHO MEDICAL GROUP
1512 12TH AVE RD
NAMPA, ID 83686-6008
Phone number: 208-463-5100
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Mailing Address
PREMIER EMERGENCY PHYSICIANS OF IDAHO MEDICAL GROUP
3916 STATE ST SUITE 300
SANTA BARBARA, CA 93105-5602
Phone number: 805-563-3011
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