Individual
MRS. SUZANNE RUTH AUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3543A HIGHWAY 93, TWIN FALLS, ID 83301-0465
(208) 731-7832
(208) 734-2613
Mailing address
3543A HIGHWAY 93, TWIN FALLS, ID 83301-0465
(208) 731-7832
(208) 734-2613
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8070485
—
ID
05
—
8070565
—
ID
Enumeration date
03/30/2007
Last updated
07/09/2007
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