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Organization

MADISON WOMEN'S CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. IRIS GARNER (PRACTICE ADMINISTRATOR)
(208) 356-6185
Entity
Organization

Contact information

Practice address
15 MADISON PROFESSIONAL PARK, REXBURG, ID 83440-2057
(208) 356-6185
Mailing address
15 MADISON PROFESSIONAL PARK, REXBURG, ID 83440-2057
(208) 356-6185

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-481A
ID

Other

Enumeration date
05/30/2007
Last updated
08/22/2020
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