SOUTHEAST IDAHO FAMILY PRACTICE

IDAHO FALLS, ID
NPI1982759007
Entity TypeOrganization
Authorized ContactCONNIE M BATES
Office Manager
208-524-6694
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2007-01-25
Last Update Date2020-08-22
Business Address
SOUTHEAST IDAHO FAMILY PRACTICE
2775 CHANNING WAY
IDAHO FALLS, ID 83404-7510
Phone number: 208-524-0133
Mailing Address
SOUTHEAST IDAHO FAMILY PRACTICE
2775 CHANNING WAY
IDAHO FALLS, ID 83404-7510
Phone number: 208-524-0133
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