Intercept Systems, Pllc

NPI #1275707630 in Blackfoot, Idaho

Provider Information

NPI Number
1275707630
Entity Type
Organization
Organization Name
Intercept Systems, Pllc
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Apr 16, 2008
Last Updated
Apr 16, 2008

Practice Location

Address
140 N 700 W
State
Idaho
ZIP Code
83221-5311
Phone
(208) 201-0795

Authorized Official

Name
RALPH D HECKARD, M.D.
Title
MANAGER
Phone
(208) 201-0795

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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