specializing in pain medicine in Moscow, Idaho

NPI: 1013556596

Provider Type

2

Practice Locations

Mailing Location

700 S MAIN ST

MOSCOW, ID 83843

Practice Location

804 S WASHINGTON ST STE A

MOSCOW, ID 83843

📞 2088836700

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:12/31/2019
Last Updated:12/31/2019

Credentials

Primary Credential: