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Individual

BENJAMIN WESTERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
H.I.D.

Contact information

Practice address
2285 E 25TH ST STE 201, IDAHO FALLS, ID 83404-4725
(208) 403-2832
Mailing address
2285 E 25TH ST STE 201, IDAHO FALLS, ID 83404-4725
(208) 403-2832

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA-2764
ID

Other

Enumeration date
06/03/2014
Last updated
06/14/2023
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