specializing in family medicine in Homedale, Idaho

NPI: 1992728976

Provider Type

2

Practice Locations

Mailing Location

PO BOX 16820

BOISE, ID 83715

📞 2083373233

Practice Location

106 WEST IDAHO AVENUE

HOMEDALE, ID 83628

📞 2083373233

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:7/25/2006
Last Updated:6/10/2008

Credentials

Primary Credential:
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