Blackfoot Medical Clinic INC
NPI #1699963397 in Blackfoot, Idaho
Provider Information
- NPI Number
- 1699963397
- Entity Type
- Organization
- Organization Name
- Blackfoot Medical Clinic INC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Oct 9, 2007
- Last Updated
- Feb 1, 2008
Practice Location
Authorized Official
- Name
- SHEILA TIBBITS
- Title
- ADMINISTRATION
- Phone
- (208) 785-2600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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