specializing in general practice in Eagle, Idaho

NPI: 1255621835

Provider Type

2

Practice Locations

Mailing Location

5701 WILLOW CREEK RD

EAGLE, ID 83616

📞 2087247420

Practice Location

311 VILLAGE DR

TAMARACK, ID 83615

📞 2087247420

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:4/15/2011
Last Updated:4/15/2011

Credentials

Primary Credential:
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