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Organization

DOCTORS CLINIC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEAN L WILLIAMS MD (MD)
(208) 226-5147
Entity
Organization

Contact information

Practice address
590 GIFFORD AVE, AMERICAN FALLS, ID 83211-1314
(208) 226-5147
(208) 226-7002
Mailing address
590 GIFFORD AVE, AMERICAN FALLS, ID 83211-1314
(208) 226-5147
(208) 226-7002

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M3687
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3687-1
BLUE CROSS
Enumeration date
07/11/2007
Last updated
07/11/2007
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