Individual
DR. SAMANTHA RENEE ETEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 227-2850
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
O-1654
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/31/2020
Last updated
10/01/2025
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