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Organization

PEINE OSTEOPATHIC MEDICINE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER C PEINE D,O, (OWNER)
(208) 947-0925
Entity
Organization

Contact information

Practice address
450 W STATE ST, SUITE 250, EAGLE, ID 83616-7057
(208) 947-0925
(208) 947-0926
Mailing address
450 W STATE ST, SUITE 250, EAGLE, ID 83616-7057
(208) 947-0925
(208) 947-0926

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-0366
ID

Other

Enumeration date
04/14/2008
Last updated
04/14/2008
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