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Individual

MRS. REBECCA H ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2990 CORTEZ AVE, IDAHO FALLS, ID 83404
(208) 535-0440
(208) 535-0550
Mailing address
2990 CORTEZ AVE, IDAHO FALLS, ID 83404
(208) 535-0440
(208) 535-0550

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0420011033
VT
207Q00000X
Family Medicine Physician
Primary
M-11487
ID

Other

Enumeration date
06/22/2006
Last updated
05/03/2012
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