DANIELLE KIGGINS SISUL

BLACKFOOT, ID
NPI1023275914
Professional NameDANIELLE KIGGINS SISUL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: ID  M-13396)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: CO  DR.0054868)
207P00000X Emergency Medicine
(Licence: CA  A110532)
Enumeration Date2008-05-19
Last Update Date2018-06-13
Business Address
DANIELLE KIGGINS SISUL
98 POPLAR ST
BLACKFOOT, ID 83221
Phone number: 208-785-4100
Mailing Address
DANIELLE KIGGINS SISUL
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-785-4100