Debra S Gorin Md Pc

NPI 1083724215 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1083724215
Enumeration Date 08/30/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DEBRA S DEBRA
Position OWNER
Phone (208) 535-8549
Fax (208) 528-8109
Practice Location
1361 CAMBRIDGE DR
IDAHO FALLS ID, 83401-4208, US
Phone (208) 535-8549
Fax (208) 528-8109
Business Location
1361 CAMBRIDGE DR
IDAHO FALLS ID, 83401-4208, US
Phone (208) 535-8549
Fax (208) 528-8109
Toxanomy
Taxonomy Code 2084P0800X
License State Idaho
License Number M-9459
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According to our database, Debra S Gorin Md Pc NPI is 1083724215, taxonomy code is 2084P0800X and license number is M-9459, license state is located at Idaho. Debra S Gorin Md Pc physically located at 1361 Cambridge Dr, Idaho Falls ID, 83401-4208. NPI Number 1033115704 has the healthcare provider type.

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1083724215 NPI number is provided on an as is basis without warranty of any kind. 1083724215 is maintained by the National Plan & Provider Enumeration System. The contents of Debra S Gorin Md Pc are for informational purposes only.