Eastern Idaho Reg Med Ctr Ps, Llc

NPI 1053352427 - Obstetrics & Gynecology - 207VX0201X

NPI Details
NPI 1053352427
Enumeration Date 06/09/2006
Last Updated 08/28/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name ROBERT ROBERT
Position VP
Phone (208) 529-7147
Fax
Practice Location
3100 CHANNING WAY
IDAHO FALLS ID, 83404-7533, US
Phone (208) 529-7147
Fax
Business Location
3100 CHANNING WAY
IDAHO FALLS ID, 83404-7533, US
Phone (208) 529-7147
Fax
Toxanomy
Taxonomy Code 207VX0201X
License State
License Number
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According to our database, Eastern Idaho Reg Med Ctr Ps, Llc NPI is 1053352427, taxonomy code is 207VX0201X Eastern Idaho Reg Med Ctr Ps, Llc physically located at 3100 Channing Way, Idaho Falls ID, 83404-7533. NPI Number 1033115704 has the healthcare provider type.

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1053352427 NPI number is provided on an as is basis without warranty of any kind. 1053352427 is maintained by the National Plan & Provider Enumeration System. The contents of Eastern Idaho Reg Med Ctr Ps, Llc are for informational purposes only.