MOUNTAIN STATES CARDIOVASCULAR AND
Medical Practice at Teton Plz, Idaho Falls, ID

License number
Idaho M-6479 M-7194
Category
Medical Practice
Type
Specialist
Owner
Name: LISA A ALCOX
Title: OFFICE MANAGER
Phone: (208) 524-4660
Address
Address
2225 Teton Plz STE B, Idaho Falls, ID 83404
National Provider ID: 1306862503
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MOUNTAIN STATES CARDIOVASCULAR AND at bizstanding.com

MOUNTAIN STATES CARDIOVASCULAR AND THORACIC SURGERY, P.L.L.C

2860 Channing Way #112, Idaho Falls, ID 83404

Status:
Inactive
Registration:
Feb 10, 1997
Inactive since:
May 9, 2012
State ID:
W3530
Business type:
LIMITED LIABILITY COMPANY
Agent:
Gregory R Hodson Md,2860 Channing Way STE 112, Idaho Falls, ID 83404 (Physical)

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