Gem State Ent, Pllc

NPI #1215715669 in Twin Falls, Idaho

Provider Information

NPI Number: 1215715669
Entity Type: Organization
Organization Name: Gem State Ent, Pllc
Primary Specialty: General Practice
Enumeration Date: Sep 18, 2023
Last Updated: Apr 8, 2025

Practice Location

Address: 2102 CANYON PLAZA DR
City: Twin Falls
State: Idaho
ZIP Code: 83301-4513
Phone: (208) 352-7555

Authorized Official

Name: BROOKE FREIDENBERGER
Title: MEDICAL CODER
Phone: (208) 858-6008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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