specializing in pediatrics in Lewiston, Idaho

NPI: 1487776159

Provider Type

2

Practice Locations

Mailing Location

PO BOX 83720

4TH FLOOR

BOISE, ID 83720

📞 2083344935

📠 2083327307

Practice Location

215 10TH ST

LEWISTON, ID 83501

📞 2087990386

📠 2087990349

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:4/4/2007
Last Updated:8/22/2020

Credentials

Primary Credential: