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Organization

DOCTOR MOM'S WHOLESOME HEALTH, PLLC

Active
Other names
Laramie Wheeler, DO
Organization subpart
No

Provider details

NPI number
Authorized official
LARAMIE L. WHEELER DO (OWNER)
(208) 557-0200
Entity
Organization

Contact information

Practice address
2410 E 25TH ST, IDAHO FALLS, ID 83404
(208) 557-0200
(208) 542-5080
Mailing address
2410 E 25TH ST, IDAHO FALLS, ID 83404-7549
(208) 557-0200
(208) 542-5080

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-0426
ID

Other

Enumeration date
11/22/2013
Last updated
08/22/2018
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