Individual
DR. JANE ANN BENNETT-MUNRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
650 ADDISON AVE W, TWIN FALLS, ID 83303-0409
(208) 737-2035
Mailing address
PO BOX 553, TWIN FALLS, ID 83303-0553
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M3734
ID
Other
Enumeration date
05/16/2006
Last updated
11/17/2010
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