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1972599132
DAVID J BILSTROM
BLACKFOOT, ID
NPI
1972599132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: IL F39490)
Enumeration Date
2005-09-23
Last Update Date
2018-12-19
Business Address
DAVID J BILSTROM MD
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-782-2444
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Mailing Address
DAVID J BILSTROM MD
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-782-2444
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