specializing in family medicine in Ammon, Idaho

NPI: 1942699715

Provider Type

2

Practice Locations

Mailing Location

3040 E 17TH ST

AMMON, ID 83406

📞 2085570200

📠 2085425080

Practice Location

3040 E 17TH ST

AMMON, ID 83406

📞 2085570200

📠 2085425080

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:1/17/2015
Last Updated:1/17/2015

Credentials

Primary Credential:
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