specializing in dermatology in Blackfoot, Idaho

NPI: 1780123950

Provider Type

2

Practice Locations

Mailing Location

98 POPLAR ST

BLACKFOOT, ID 83221

📞 2087823969

📠 2087822984

Practice Location

3760 WASHINGTON PKWY

IDAHO FALLS, ID 83404

📞 2085353637

📠 2085222705

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:2/21/2017
Last Updated:12/18/2019

Credentials

Primary Credential:
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