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CRAIG D. SCOVILLE, M.D., P.C.

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Company Details

Name: CRAIG D. SCOVILLE, M.D., P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 02 Sep 1997 (28 years ago)
Financial Date End: 30 Sep 2010
Date dissolved: 07 Dec 2010
Entity Number: 370645
Place of Formation: IDAHO
File Number: 0000370645
ZIP code: 83404
County: Bonneville County
Mailing Address: 2220 E 25TH STREET IDAHO FALLS, ID 83404

National Provider Identifier

NPI Number:
1124252952

Authorized Person:

Name:
CRAIG D SCOVILLE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RR0500X - Rheumatology Physician
Is Primary:
Yes

Contacts:

Fax:
2085429081

Filing

Filing Name Filing Number Filing date
Annual Report 0002587794 2009-10-22
Annual Report 0002587796 2008-09-26
Annual Report 0002587795 2007-07-18
Annual Report 0002587791 2006-07-21
Annual Report 0002587793 2005-07-21

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Date of last update: 25 Sep 2024

Sources: Idaho Secretary of State