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Individual

DR. ROBERT LEE CACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2375 E SUNNYSIDE RD STE G, IDAHO FALLS, ID 83404-8281
(208) 542-1050
(208) 542-1150
Mailing address
3360 S 15TH E, IDAHO FALLS, ID 83404-8321
(208) 542-1050
(208) 542-1150

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
M-7169
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010003655
REGENCE BLUE SHIELD OF ID
ID
05
804252500
ID
01
DG837
BLUE CROSS OF IDAHO
ID
Enumeration date
10/12/2006
Last updated
03/29/2018
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