Madison Women's Clinic, Pllc

NPI #1497824106 in Rexburg, Idaho

Provider Information

NPI Number: 1497824106
Entity Type: Organization
Organization Name: Madison Women's Clinic, Pllc
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Nov 7, 2006
Last Updated: Feb 13, 2012

Practice Location

Address: 15 MADISON PROFESSIONAL PARK
City: Rexburg
State: Idaho
ZIP Code: 83440
Phone: (208) 356-6185

Authorized Official

Name: BRUCE CLINTON BARTON, M.D.
Title: MANAGING PARTNER
Phone: (208) 356-6185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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