CASEY JOSEPH SHORT

IDAHO FALLS, ID
NPI1033070511
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  8671393)
Enumeration Date2025-11-24
Last Update Date2026-02-05
Business Address
CASEY JOSEPH SHORT RN
2325 CORONADO ST
IDAHO FALLS, ID 83404-7407
Phone number: 208-557-2700
Mailing Address
CASEY JOSEPH SHORT RN
2325 CORONADO ST
IDAHO FALLS, ID 83404-7407
Phone number: 208-557-2700