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Organization
A P MCLAUGHLIN III APC
Active
Organization
A P MCLAUGHLIN III APC
Active
Other names
WOOD RIVER UROLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
AMBROSE PAT MCLAUGHLIN M.D. (PHYSICIAN)
(208) 726-0124
Entity
Organization
Contact information
Practice address
120 N LEADVILLE, KETCHUM, ID 83340
(208) 726-0124
Mailing address
120 N LEADVILLE, KETCHUM, ID 83340
(208) 726-0124
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003518100
—
ID
01
—
CJ6159
RR MEDICARE
ID
Enumeration date
06/14/2006
Last updated
06/25/2008
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