Individual
BRENDA FAY GROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MIDWIFE
Contact information
Practice address
1431 WASHINGTON ST S, TWIN FALLS, ID 83301-8008
(208) 731-3398
(208) 735-8390
Mailing address
1431 WASHINGTON ST S, TWIN FALLS, ID 83301-8008
(208) 731-3398
(208) 735-8390
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MIDGM-28
ID
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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