Obhg Idaho PC

NPI #1881204261 in Caldwell, Idaho

Provider Information

NPI Number: 1881204261
Entity Type: Organization
Organization Name: Obhg Idaho PC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Jul 31, 2020
Last Updated: Jul 31, 2020

Practice Location

Address: 1717 ARLINGTON AVE
City: Caldwell
State: Idaho
ZIP Code: 83605-4802
Phone: (864) 908-3530

Authorized Official

Name: MR. CLIFF LAWRENCE
Title: ASSISTANT SECRETARY
Phone: (864) 908-3530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Hospitalist	208M00000X
Obstetrics & Gynecology	207V00000X	Primary

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