Madison Physician Services

NPI #1639111206 in Rexburg, Idaho

Provider Information

NPI Number: 1639111206
Entity Type: Organization
Organization Name: Madison Physician Services
Primary Specialty: Emergency Medicine
Enumeration Date: Jun 11, 2006
Last Updated: Jun 5, 2012

Practice Location

Address: 450 E MAIN ST
City: Rexburg
State: Idaho
ZIP Code: 83440-2048
Phone: (208) 359-9898

Authorized Official

Name: RACHEL A. GONZALES, DM, RN
Title: CEO
Phone: (208) 359-9879

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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