Organization
GENESIS WOMEN'S HEALTH NON-PROFIT CORPORATION
Active
Other names
Genesis Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB P VENESKY MD (EXECUTIVE DIRECTOR)
(832) 282-6260
Entity
Organization
Contact information
Practice address
378 S RIDGE AVE, IDAHO FALLS, ID 83402-4115
(208) 306-0700
(208) 759-7187
Mailing address
378 S RIDGE AVE, IDAHO FALLS, ID 83402-4115
(208) 306-0700
(208) 759-7187
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
04/02/2024
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