Organization
ROCCO P. CIFRESE, MD AND SARA A. CIFRESE, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROCCO P CIFRESE MD (OWNER)
(208) 522-7666
Entity
Organization
Contact information
Practice address
1995 E 17TH ST, IDAHO FALLS, ID 83404-6493
(208) 522-7666
(208) 524-2821
Mailing address
1995 E 17TH ST, IDAHO FALLS, ID 83404-6493
(208) 522-7666
(208) 524-2821
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M2932 & M2933
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002429600
—
ID
05
—
002429800
—
ID
01
—
012157409
PALMETTO GBA
ID
Enumeration date
03/23/2007
Last updated
02/01/2010
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