Individual
LINDA L. BABBITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 S 11TH AVE, SUITE 203, POCATELLO, ID 83201-4835
(208) 232-5902
Mailing address
PO BOX 4883, POCATELLO, ID 83205-4883
(208) 236-1600
(208) 236-6695
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TL3384
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806784700
—
ID
Enumeration date
09/06/2006
Last updated
02/17/2010
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