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Organization
IDAHO FAMILY PHYSICIANS
Active
Organization
IDAHO FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA A HESCHKE (CLINIC MANAGER)
(208) 345-4066
Entity
Organization
Contact information
Practice address
130 E BOISE AVE, BOISE, ID 83706
(208) 345-4066
(208) 345-4196
Mailing address
130 E BOISE AVE, BOISE, ID 83706
(208) 345-4066
(208) 345-4196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/07/2006
Last updated
07/12/2007
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