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Individual

ANNE MARIE OMALLEY-NEUHAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
120 EAST HOWARD AVENUE, TETON VALLEY HEALTH CARE, DRIGGS, ID 83422-5112
(208) 354-6302
(208) 354-3158
Mailing address
120 EAST HOWARD AVENUE, TETON VALLEY HEALTH CARE, DRIGGS, ID 83422-5112
(208) 354-6302
(208) 354-3158

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
NP-927A
ID
363LF0000X
Family Nurse Practitioner
LG-0000374
DE

Other

Enumeration date
06/20/2007
Last updated
12/13/2016
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