Intercept Systems, Pllc

NPI 1275707630 - Clinic/Center - 261QP2300X

NPI Details
NPI 1275707630
Enumeration Date 04/16/2008
Last Updated 04/16/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RALPH D RALPH
Position MANAGER
Phone (208) 201-0795
Fax
Practice Location
140 N 700 W
BLACKFOOT ID, 83221-5311, US
Phone (208) 201-0795
Fax
Business Location
140 N 700 W
BLACKFOOT ID, 83221-5311, US
Phone (208) 201-0795
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State Idaho
License Number M4388
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According to our database, Intercept Systems, Pllc NPI is 1275707630, taxonomy code is 261QP2300X and license number is M4388, license state is located at Idaho. Intercept Systems, Pllc physically located at 140 N 700 W, Blackfoot ID, 83221-5311. NPI Number 1033115704 has the healthcare provider type.

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1275707630 NPI number is provided on an as is basis without warranty of any kind. 1275707630 is maintained by the National Plan & Provider Enumeration System. The contents of Intercept Systems, Pllc are for informational purposes only.