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Organization

IDAHO URGENT CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CANDACE MARIE BUNNAGE (BILLING MANAGER)
(208) 542-9111
Entity
Organization

Contact information

Practice address
740 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5285
(208) 542-9111
(208) 542-9114
Mailing address
740 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5285
(208) 542-9111
(208) 542-9114

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8F280
BLUE CROSS GROUP
ID
Enumeration date
11/22/2006
Last updated
08/22/2020
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