Kimberly R Tanabe, M.D.

NPI #1194773598 in Eagle, Idaho

Provider Information

NPI Number: 1194773598
Entity Type: Individual
Name: Kimberly R Tanabe, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: May 5, 2006
Last Updated: Aug 21, 2012

Practice Location

Address: 3101 E STATE ST
Address 2: SUITE 2120
City: Eagle
State: Idaho
ZIP Code: 83616-6232
Phone: (208) 473-3275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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