Organization
FREMONT MEDICAL SERVICES PC
Active
Parent organization
FREMONT MEDICAL SERVICES PC
Other names
Island Park Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREMONT MEDICAL SERVICES PC
Authorized official
DR. STEPHEN CHEYNE MD (PRESIDENT)
(208) 558-7766
Entity
Organization
Contact information
Practice address
3765 HIGHWAY 20 S, ISLAND PARK, ID 83429
(208) 558-7766
Mailing address
PO BOX 826, ASHTON, ID 83420-0826
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
M4566
ID
Other
Enumeration date
03/05/2008
Last updated
04/02/2008
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