specializing in physician assistant in Ketchum, Idaho

NPI: 1194136515

Provider Type

2

Practice Locations

Mailing Location

PO BOX 1575

KETCHUM, ID 83340

📞 2087250900

📠 2087250901

Practice Location

380 WASHINGTON AVE

SUITE 204

KETCHUM, ID 83340

📞 2087250900

📠 2087250901

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:5/20/2014
Last Updated:5/20/2014

Credentials

Primary Credential: