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Organization
MADISON WOMEN'S CLINIC, PLLC
Active
Organization
MADISON WOMEN'S CLINIC, PLLC
Active
Other names
Madison Women's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE CLINTON BARTON M.D. (MANAGING PARTNER)
(208) 356-6185
Entity
Organization
Contact information
Practice address
15 MADISON PROFESSIONAL PARK, REXBURG, ID 83440
(208) 356-6185
(208) 356-0378
Mailing address
15 MADISON PROFESSIONAL PARK, REXBURG, ID 83440
(208) 356-6185
(208) 356-0378
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002756800
—
ID
Enumeration date
11/07/2006
Last updated
02/13/2012
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