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Organization
INNOVATIVE FAMILY MEDICINE OF IDAHO PLLC
Active
Organization
INNOVATIVE FAMILY MEDICINE OF IDAHO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON BROWN MD (MEMBER)
(208) 961-0420
Entity
Organization
Contact information
Practice address
512 POLE LINE RD STE 2, TWIN FALLS, ID 83301-6367
(208) 735-3636
(208) 735-3637
Mailing address
PO BOX 44953, BOISE, ID 83711-0953
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
04/02/2024
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