Fremont Medical Services PC

NPI #1407026560 in Island Park, Idaho

Provider Information

NPI Number: 1407026560
Entity Type: Organization
Organization Name: Fremont Medical Services PC
Subpart: Yes (part of a larger organization)
Parent Organization: FREMONT MEDICAL SERVICES PC
Primary Specialty: Clinic/Center
Enumeration Date: Mar 5, 2008
Last Updated: Apr 2, 2008

Practice Location

Address: 3765 HIGHWAY 20 S
City: Island Park
State: Idaho
ZIP Code: 83429
Phone: (208) 558-7766

Authorized Official

Name: DR. STEPHEN CHEYNE, MD
Title: PRESIDENT
Phone: (208) 558-7766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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