specializing in family medicine in Nampa, Idaho

NPI: 1730407461

Provider Type

2

Practice Locations

Mailing Location

1123 PACIFIC AVE

TACOMA, WA 98402

📞 2536821710

📠 2532841881

Practice Location

1512 12TH AVE RD

NAMPA, ID 83686

📞 2084635000

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:5/5/2010
Last Updated:1/23/2015

Credentials

Primary Credential: