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Organization
FAMILY PRACTICE RESIDENCY OF IDAHO, INC
Active
Organization
FAMILY PRACTICE RESIDENCY OF IDAHO, INC
Active
Other names
Family Practice Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TED EPPERLY M.D. (CHAIRMAN AND PROGRAM DIRECTOR)
(208) 367-6042
Entity
Organization
Contact information
Practice address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 367-6030
(208) 367-6123
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 367-6030
(208) 367-6123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/30/2006
Last updated
01/30/2008
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