TARGHEE INTERNAL MEDICINE
Psychiatric at 1, Rexburg, ID

License number
Idaho O-305
Category
Psychiatric
Type
Sleep Medicine
Owner
Name: LIISA OSWALD
Title: SECRETARY- TREASURER
Phone: (208) 356-7755
Address
Address
232 E 1St N, Rexburg, ID 83440
National Provider ID: 1639391477
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TARGHEE INTERNAL MEDICINE at bizstanding.com

TARGHEE INTERNAL MEDICINE, PLLC

108 W 1 S, Rexburg, ID 83440

Status:
Inactive
Registration:
Jan 9, 2003
Inactive since:
Mar 3, 2006
State ID:
W22231
Business type:
LIMITED LIABILITY COMPANY
Agent:
Allan Jeffery,108 W 1 S, Rexburg, ID 83440 (Physical)

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