Organization
DEBRA S GORIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA S GORIN MD PC (OWNER)
(208) 535-8549
Entity
Organization
Contact information
Practice address
1361 CAMBRIDGE DR, IDAHO FALLS, ID 83401-4208
(208) 535-8549
(208) 528-8109
Mailing address
1361 CAMBRIDGE DR, IDAHO FALLS, ID 83401-4208
(208) 535-8549
(208) 528-8109
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M-9459
ID
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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