Organization
GEM STATE ENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE FREIDENBERGER (MEDICAL CODER)
(208) 858-6008
Entity
Organization
Contact information
Practice address
2102 CANYON PLAZA DR, TWIN FALLS, ID 83301-4513
(208) 352-7555
(208) 352-7333
Mailing address
2114 VILLAGE PARK AVE # 200, TWIN FALLS, ID 83301-4172
(208) 804-1717
(208) 804-1707
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
04/08/2025
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