INTERCEPT SYSTEMS, PLLC
Ambulatory Health at 700, Thomas, ID

License number
Idaho M4388
Category
Ambulatory Health
Type
Primary Care
Owner
Name: RALPH D HECKARD M.D.
Title: MANAGER
Phone: (208) 201-0795
Address
Address
140 N 700 W, Thomas, ID 83221
National Provider ID: 1275707630
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about INTERCEPT SYSTEMS, PLLC at bizstanding.com

INTERCEPT SYSTEMS PLLC

Thomas, ID

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Feb 29, 2008
Inactive since:
May 5, 2010
Addresses:
PO Box 1098, Blackfoot, ID 83221 (Physical)
140 N 700 W, Thomas, ID 83221
State ID:
W71814
Business type:
LIMITED LIABILITY COMPANY
Manager, Medical Doctor, Member:
Ralph D. Heckard (Manager, Medical Doctor, Member)
Agent:
Ralph D Heckard Md,140 N 700 W, Blackfoot, ID 83221 (Physical)

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