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Surgery Physician
NPI: 1528152758Organization
Specialties, Licenses & Credentials
Surgery PhysicianPrimary
Surgery
Code: 208600000X
C143842(ID)
Contact & Hours
- Address
- 500 S 11TH AVE
POCATELLO, ID 83201 - Phone
- (208) 232-7434
Quick Facts
- NPI
- 1528152758
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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