specializing in family medicine in Blackfoot, Idaho

NPI: 1174091896

Provider Type

2

Practice Locations

Mailing Location

98 POPLAR ST

BLACKFOOT, ID 83221

📞 2087854100

Practice Location

3456 E 17TH ST STE 125

AMMON, ID 83406

📞 2085292828

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:11/12/2018
Last Updated:5/9/2024

Credentials

Primary Credential:
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