Organization
STODDARD & BINGHAM MEDICAL OF REXBURG PLLC
Active
Other names
Idaho Skin Institute of Rexburg
Organization subpart
No
Provider details
NPI number
Authorized official
RALENE REDFORD MA (PRACTICE MANAGER)
(208) 238-7546
Entity
Organization
Contact information
Practice address
859 S YELLOWSTONE HWY STE 3302, REXBURG, ID 83440-6200
(208) 656-2160
(208) 656-2161
Mailing address
147 W CHUBBUCK RD, CHUBBUCK, ID 83202-2314
(208) 238-7546
(208) 238-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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