Organization
BRIDGER VALLEY URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN MARLOWE GOBLE M.D. (OWNER)
(208) 542-9111
Entity
Organization
Contact information
Practice address
3580 STATE HIGHWAY 414, LYMAN, WY 82937
(208) 542-9111
(208) 542-9114
Mailing address
740 S. WOODRUFF AVE., IDAHO FALLS, ID 83401-5543
(208) 542-9111
(208) 542-9114
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2650A
WY
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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