Organization
SAGE RESEARCH FOUNDATION INC
Active
Other names
Crush the Curve Idaho Foundation, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN THOMAS AHLQUIST MD (OWNER)
(208) 810-2298
Entity
Organization
Contact information
Practice address
2775 W NAVIGATOR DR STE 220, MERIDIAN, ID 83642-7592
(208) 616-1050
Mailing address
2775 W NAVIGATOR DR STE 220, MERIDIAN, ID 83642-7592
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
02/12/2021
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