| Clinic Name: | Idaho Center for Reproductive Medicine |
| Clinic Address: | 115 Main Street, Suite 101 |
| City: | Boise |
| State: | ID |
| Zip: | 83702 |
| Practice Director: | Russell A. Foulk, M.D. |
| Medical Director: | Russell A. Foulk, M.D. |
| Laboratory Director: | Russell A. Foulk, M.D. |
| Phone: | 208-342-5900 |
| Fax: | 208-342-2088 |
| Web Address: | http://www.idahofertility.com |
| Email Address: |