Organization
GOBLE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN MARLOWE GOBLE M.D. (OWNER)
(208) 542-9111
Entity
Organization
Contact information
Practice address
1950 S HIGHWAY 89, PERRY, UT 84302-4119
(208) 542-9111
(208) 542-9114
Mailing address
740 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5285
(208) 542-9111
(208) 542-9114
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
02/18/2015
Last updated
03/09/2015
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