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1952478703
JASON RYAN GREENHALGH
TWIN FALLS, ID
NPI
1952478703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: ID M-11276)
Additional Taxonomies
208800000X Urology
(Licence: IA R-7693)
Enumeration Date
2006-11-29
Last Update Date
2014-12-29
Business Address
DR. JASON RYAN GREENHALGH M.D.
775 POLE LINE RD W SUITE 301
TWIN FALLS, ID 83301-5814
Phone number: 208-814-8700
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Mailing Address
DR. JASON RYAN GREENHALGH M.D.
PO BOX 587
TWIN FALLS, ID 83303-0587
Phone number: 208-814-7400
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