specializing in otolaryngology in Ketchum, Idaho

NPI: 1396851200

Provider Type

2

Practice Locations

Mailing Location

191FIFTH STREET WEST

P O BOX 8880

KETCHUM, ID 83340

📞 2086228700

📠 2087252015

Practice Location

191 FIFTH STREET WEST

KETCHUM, ID 83340

📞 2086228700

📠 2087252015

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:8/22/2006
Last Updated:8/22/2020

Credentials

Primary Credential:
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