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Organization
OB-GYN ASSOCIATES, PA
Active
Organization
OB-GYN ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI JO LYNN (PRACTICE ADMINISTRATOR)
(208) 955-0340
Entity
Organization
Contact information
Practice address
3520 E. LOUISE DR, MERIDIAN, ID 83642
(208) 955-0350
(208) 955-0352
Mailing address
3520 E. LOUISE DR, MERIDIAN, ID 83642
(208) 955-0350
(208) 955-0352
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002415100
—
ID
05
—
226971
—
OR
05
—
226972
—
OR
01
—
89284
BLUE CROSS; CALDWELL
ID
01
—
8C246
BLUE CROSS; MERIDIAN
ID
Enumeration date
01/25/2006
Last updated
07/28/2008
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