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SOUTHEASTERN IDAHO MEDICAL CLINICS

Family Medicine Physician

NPI: 1982738662Organization

Specialties, Licenses & Credentials

Clinic/Center — Rural Health

Code: 261QR1300X

0-41(ID)

Family Medicine

Code: 207Q00000X

0-41(ID)

Contact & Hours

Address
230 W 200 N
MALAD CITY, ID 83252

Quick Facts

NPI
1982738662
Entity Type
Organization
Medicare
Not confirmed
Specialties
2
Locations
1

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