specializing in internal medicine in Chubbuck, Idaho

NPI: 1013064690

Provider Type

2

Practice Locations

Mailing Location

PO BOX 268934

OKLAHOMA CITY, OK 73126

📞 2089044780

📠 2089044832

Practice Location

4511 ZEBE AVE

CHUBBUCK, ID 83202

📞 2089044780

📠 2089044832

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:1/4/2007
Last Updated:4/8/2021

Credentials

Primary Credential:
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