specializing in emergency medicine in Blackfoot, Idaho

NPI: 1225378987

Provider Type

2

Practice Locations

Mailing Location

13737 NOEL ROAD

300

PENSACOLA, TX 32502

📞 4694012386

📠 2147122444

Practice Location

98 POPLAR ST

BLACKFOOT, ID 83221

📞 2087854100

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:2/18/2013
Last Updated:7/9/2014

Credentials

Primary Credential:
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