Provider First Line Business Practice Location Address:
845 W CENTER ST
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
POCATELLO
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83204-4205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-232-6260
Provider Business Practice Location Address Fax Number:
208-232-6259
Provider Enumeration Date:
07/18/2005