specializing in emergency medicine in Kellogg, Idaho

NPI: 1295914760

Provider Type

2

Practice Locations

Mailing Location

PO BOX 8120

PHILADELPHIA, PA 19101

📞 8004447009

📠 8003053233

Practice Location

3 JACOBS GULCH ROAD

KELLOGG, ID 83837

📞 2087841221

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:10/31/2007
Last Updated:4/20/2008

Credentials

Primary Credential:
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