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Erik David Sibbernsen, M.D. Valid NPI

Individual provider · Internal Medicine Physician · Eagle, ID

NPI
1750791471
Type
Individual (Type 1)
Primary specialty
Internal Medicine Physician (Internal Medicine)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207R00000X
License number
M-17816 (ID)
Sex
Male
Sole proprietor
No
Enumerated
2014-05-02
Last updated
2024-08-08
Practice location
3101 E State St Ste 2120
Eagle, ID 83616-6232
(208) 473-3275

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Erik David Sibbernsen, M.D. — NPI 1750791471