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1952335929
PIONEER FAMILY MEDICINE PLLC
MERIDIAN, ID
NPI
1952335929
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Entity Type
Organization
Authorized Contact
JASON SCOTT LUDWIG
Owner
208-938-3663
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID O-253)
Enumeration Date
2006-07-10
Last Update Date
2019-08-23
Business Address
PIONEER FAMILY MEDICINE PLLC
4740 N. PENNGROVE WAY STE. 100
MERIDIAN, ID 83646
Phone number: 208-938-3663
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Mailing Address
PIONEER FAMILY MEDICINE PLLC
4740 N. PENNGROVE WAY STE. 100
MERIDIAN, ID 83646
Phone number: 208-938-3663
Copy
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