Clinical Research Prime

NPI #1124560230 in Idaho Falls, Idaho

Provider Information

NPI Number: 1124560230
Entity Type: Organization
Organization Name: Clinical Research Prime
Primary Specialty: Clinic/Center - Research
Enumeration Date: Nov 7, 2016
Last Updated: Nov 7, 2016

Practice Location

Address: 187 E 13TH ST
City: Idaho Falls
State: Idaho
ZIP Code: 83404-5305
Phone: (208) 497-0600

Authorized Official

Name: DR. JUSTIN BAKER, PHD
Title: PRESIDENT, CHIEF RESEARCH OFFICER
Phone: (208) 497-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Research — Research	261QR1100X	Primary

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