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Search › Idaho › 104100000X

Tyson Falls

NPI 1598207219 · on the registry since 2016

Practice

Address
2705 E 17th St
Ammon, ID 83406
Phone
(208) 346-7500
Organisation at this address
Pearl Health Clinic
Pearl Health Clinic
Genoa Healthcare Llc
Pearl Primary Care Pllc
Balance And Renewal Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
120

Registry record

Primary taxonomy
104100000X
104100000X
Sex
Male
Record last updated
2016-11-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho