Generations Women's Clinic, Pllc

NPI #1578714770 in Rexburg, Idaho

Provider Information

NPI Number: 1578714770
Entity Type: Organization
Organization Name: Generations Women's Clinic, Pllc
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Oct 6, 2008
Last Updated: Oct 7, 2008

Practice Location

Address: 36 PROFESSIONAL PLZ
City: Rexburg
State: Idaho
ZIP Code: 83440-2049
Phone: (208) 656-8864

Authorized Official

Name: GARY LOVELL, MD
Title: MANAGING MEMBER
Phone: (208) 656-8864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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