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Organization
INTEGRIS INTEGRATIVE MEDICAL CENTER
Active
Organization
INTEGRIS INTEGRATIVE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE L SAFARIK (OFFICE ADMINSTRATOR)
(208) 524-1046
Entity
Organization
Contact information
Practice address
3355 S HOLMES AVE, IDAHO FALLS, ID 83404-7981
(208) 524-1046
Mailing address
3355 S HOLMES AVE, IDAHO FALLS, ID 83404-7981
(208) 524-1046
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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