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Individual

SAM G BATTAGLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1623 S WELLS AVE, MERIDIAN, ID 83642-5040
(208) 489-1450
(208) 489-1451
Mailing address
1130 E FAIRVIEW AVE, MERIDIAN, ID 83642-1813
(208) 985-1399
(208) 955-6501

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8918
ID

Other

Enumeration date
05/17/2006
Last updated
10/26/2018
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