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Organization
LIFE SPRING WOMENS CLINIC, P.A.
Active
Organization
LIFE SPRING WOMENS CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG ZANE HALL M.D. (PRESIDENT)
(208) 523-8844
Entity
Organization
Contact information
Practice address
1660 JOHN ADAMS PKWY, IDAHO FALLS, ID 83401-4360
(208) 523-8844
(208) 529-8684
Mailing address
1660 JOHN ADAMS PKWY, IDAHO FALLS, ID 83401-4360
(208) 523-8844
(208) 529-8684
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006530
BLUE SHIELD OF IDAHO
ID
01
—
8994-6
BLUE CROSS OF IDAHO
ID
Enumeration date
02/21/2007
Last updated
03/28/2008
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