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IDAHO PEDIATRIC GASTROENTEROLOGY, P.A.

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Company Details

Name: IDAHO PEDIATRIC GASTROENTEROLOGY, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 10 Feb 2003 (22 years ago)
Financial Date End: 29 Feb 2012
Date dissolved: 04 Jan 2012
Entity Number: 449338
Place of Formation: IDAHO
File Number: 0000449338
ZIP code: 83712
County: Ada County
Mailing Address: 100 E IDAHO STE 316 BOISE, ID 83712

National Provider Identifier

NPI Number:
1780871467

Authorized Person:

Name:
MR. HENRY R THOMPSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0000901643 2012-01-04
Annual Report 0002901914 2011-01-11
Annual Report 0002901913 2010-03-04
Annual Report 0002901916 2009-01-22
Annual Report 0002901915 2007-12-24

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State