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DR. GREGORY JOHN KADLEC MD

Allergy

Twin Falls, Idaho

Provider NPI: 1306831045

Provider Information:
DR. GREGORY JOHN KADLEC MD


Practice Location:
800 FALLS AVE SUITE 2 TWIN FALLS, ID 83301 US
Tel: 208-734-6091  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207KA0200XPhysicians
Allergy & Immunology
Allergy
NV7424
Y207KA0200XPhysicians
Allergy & Immunology
IDM2893

Other Provider Identifiers:

IssuerNumberStateType
002736201ID05
002736202ID05
002736200ID05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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