County Of Madison School District 321
Specialty details in registry · Rexburg, ID
At a glance
30 N 1St W, Rexburg, ID 83440-1538
NPPES record updated Jul 14, 2008. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
30 N 1St WRexburg, ID 83440-1538
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 251300000X
- Enumeration date
- Jan 22, 2007
- Record updated
- Jul 14, 2008
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
251300000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
30 N 1St WRexburg, ID 83440-1538
- Phone
- (208) 359-3315
- Fax
- (208) 359-3370
Mailing address
176 E CALDERWOOD DR STE 100MERIDIAN, ID 836429097
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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