Organization
MADISON WOMEN'S CLINIC, PLLC
Active
Other names
Madison Women's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE CLINTON BARTON M.D. (MANAGING PARTNER)
(208) 356-6185
Entity
Organization
Contact information
Practice address
15 MADISON PROFESSIONAL PARK, REXBURG, ID 83440
(208) 356-6185
(208) 356-0378
Mailing address
15 MADISON PROFESSIONAL PARK, REXBURG, ID 83440
(208) 356-6185
(208) 356-0378
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002756800
—
ID
Enumeration date
11/07/2006
Last updated
02/13/2012
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