specializing in pediatrics in Ammon, Idaho

NPI: 1790939056

Provider Type

2

Practice Locations

Mailing Location

3270 E 17TH ST # 207

AMMON, ID 83406

📞 2085297165

Practice Location

3100 CHANNING WAY

IDAHO FALLS, ID 83404

📞 2085297165

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:11/12/2008
Last Updated:11/12/2008

Credentials

Primary Credential: