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Organization
BRENT F. BALDREE PH.D., INC.
Active
Organization
BRENT F. BALDREE PH.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT F BALDREE PH.D. (PRESIDENT)
(208) 552-3050
Entity
Organization
Contact information
Practice address
2539 CHANNING WAY, SUITE 260, IDAHO FALLS, ID 83404-7544
(208) 552-3050
Mailing address
2539 CHANNING WAY, SUITE 260, IDAHO FALLS, ID 83404-7544
(208) 552-3050
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PSY377
ID
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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