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Southern Idaho Medicine Pllc
Clinic/Center in Jerome, Idaho
NPI 1861105694

Southern Idaho Medicine Pllc is a Clinic/Center based in Twin Falls, ID. Southern Idaho Medicine Pllc practices in Jerome, ID. The NPI Number for Southern Idaho Medicine Pllc is 1861105694 and holds a License No. (Idaho).

The current practice location address for Southern Idaho Medicine Pllc is 207 E Main St, Jerome, ID and can be reached out via phone at 208-308-7738.

Location: 207 E Main St, Jerome, ID, 83301-8156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861105694
Provider Name
Southern Idaho Medicine Pllc
Credential
Provider Entity Type
Organization
Address
207 E Main St, Jerome, ID, 83301-8156
Phone Number
208-308-7738
Fax Number
Provider Enumeration Date
12/26/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
207 E Main St
City
Jerome
State
Idaho
Zip
83338-2334
Phone Number
208-308-7738
Fax Number
person
Provider Business Mailing Address Details
Address
207 E Main St
City
Jerome
State
Idaho
Zip
83338-2334
Phone Number
208-308-7738
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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