specializing in internal medicine in Nampa, Idaho

NPI: 1134895097

Provider Type

2

Practice Locations

Mailing Location

19350 BUSINESS CENTER DR

SUITE 200

NORTHRIDGE, CA 91324

📞 8183179565

Practice Location

4301 GARRITY BLVD

SUITE 103

NAMPA, ID 83687

📞 8183179565

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:8/20/2021
Last Updated:8/20/2021

Credentials

Primary Credential:
null null null - Internal Medicine in Nampa, Idaho