specializing in family medicine in Hayden, Idaho

NPI: 1760736334

Provider Type

2

Practice Locations

Mailing Location

PO BOX 1387

HAYDEN, ID 83835

📞 2086205200

Practice Location

16760 N HIGHWAY 41

RATHDRUM, ID 83858

📞 2086875627

📠 8448073782

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:11/5/2012
Last Updated:8/20/2019

Credentials

Primary Credential: