Destin Thayne Bep Inc
Destin Thayne Bep Inc is a Family Medicine Physician in Rexburg, Idaho. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
859 S Yellowstone Hwy Ste 3201Rexburg, ID 83440-6200
Phone: (208) 359-2101
Fax: (208) 356-8860
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1790244424 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Destin Thayne — Owner · (208) 359-2101 |
| NPI enumerated | March 12, 2019 |
| Last updated in NPPES | August 12, 2021 |
| Certification date | August 12, 2021 |
| Mailing address | 859 S Yellowstone Hwy Ste 3201, Rexburg, ID 83440-6200 |
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David F Daniels, DO
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Kelly L Dustin, DO
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Dr. Scott Russell Hardy, DO
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Rex E. Head, MD
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