| Targhee Internal Medicine | |
|
232 E 1st N Rexburg ID 83440-1616 | |
| (208) 356-7755 | |
| Not Available |
| Full Name | Targhee Internal Medicine |
|---|---|
| Speciality | Psychiatry & Neurology - Sleep Medicine |
| Location | 232 E 1st N, Rexburg, Idaho |
| Authorized Official Name and Position | Liisa Oswald (SECRETARY- TREASURER) |
| Authorized Official Contact | 2083567755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Targhee Internal Medicine Po Box 275 Rexburg ID 83440-0275 Ph: (208) 356-7755 | Targhee Internal Medicine 232 E 1st N Rexburg ID 83440-1616 Ph: (208) 356-7755 |
| NPI Number | 1639391477 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639391477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | O-305 (Idaho) | Primary |
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