Organization
BMH INC
Active
Other names
Lamere Woman's Care Centre
Organization subpart
No
Provider details
NPI number
Authorized official
LISA RUDOLPH (PSO SUPPORT SPECIALIST)
(208) 782-3992
Entity
Organization
Contact information
Practice address
1151 HOSPITAL WAY STE D, SUITE 201, POCATELLO, ID 83201-5091
(208) 478-2472
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 785-4100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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