specializing in general practice in Eagle, Idaho

NPI: 1407553621

Provider Type

2

Practice Locations

Mailing Location

P.O. BOX 384

MIDDLETON, ID 83644

📞 2084067780

📠 2089393754

Practice Location

742 E. STATE ST. STE 150

EAGLE, ID 83616

📞 2089393750

📠 2089393754

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:2/8/2023
Last Updated:2/8/2023

Credentials

Primary Credential:
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null null null - General Practice in Eagle, Idaho