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Gem State Ent, Pllc
General Practice Physician in Twin Falls, Idaho
NPI 1215715669

Gem State Ent, Pllc is a General Practice Physician based in Twin Falls, ID. Gem State Ent, Pllc practices in Twin Falls, ID. The NPI Number for Gem State Ent, Pllc is 1215715669 and holds a License No. (Idaho).

The current practice location address for Gem State Ent, Pllc is 2114 Village Park Ave # 200, Twin Falls, ID and can be reached out via phone at 208-804-1717 and via fax at 208-804-1707.

Location: 2114 Village Park Ave # 200, Twin Falls, ID, 83301-4172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215715669
Provider Name
Gem State Ent, Pllc
Credential
Provider Entity Type
Organization
Address
2114 Village Park Ave # 200, Twin Falls, ID, 83301-4172
Phone Number
208-804-1717
Fax Number
208-804-1707
Provider Enumeration Date
09/18/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2114 Village Park Ave # 200
City
Twin Falls
State
Idaho
Zip
83301-4172
Phone Number
208-804-1717
Fax Number
208-804-1707
person
Provider Business Mailing Address Details
Address
2114 Village Park Ave # 200
City
Twin Falls
State
Idaho
Zip
83301-4172
Phone Number
208-804-1717
Fax Number
208-804-1707
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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