specializing in family medicine in Emmett, Idaho

NPI: 1649300138

Provider Type

2

Practice Locations

Mailing Location

PO BOX 16820

BOISE, ID 83715

📞 2083239130

📠 2083239070

Practice Location

119 N WARDWELL AVE

EMMETT, ID 83617

📞 2083656311

📠 2083651003

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:3/6/2007
Last Updated:8/22/2020

Credentials

Primary Credential:
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