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1982759007
SOUTHEAST IDAHO FAMILY PRACTICE
IDAHO FALLS, ID
NPI
1982759007
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Entity Type
Organization
Authorized Contact
CONNIE M BATES
Office Manager
208-524-6694
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-01-25
Last Update Date
2020-08-22
Business Address
SOUTHEAST IDAHO FAMILY PRACTICE
2775 CHANNING WAY
IDAHO FALLS, ID 83404-7510
Phone number: 208-524-0133
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Mailing Address
SOUTHEAST IDAHO FAMILY PRACTICE
2775 CHANNING WAY
IDAHO FALLS, ID 83404-7510
Phone number: 208-524-0133
Copy
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