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1033296330
RICHARD A WATHNE
POCATELLO, ID
NPI
1033296330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: ID M6663)
Enumeration Date
2006-11-01
Last Update Date
2021-09-07
Business Address
RICHARD A WATHNE MD
2240 E CENTER ST
POCATELLO, ID 83201-2600
Phone number: 208-233-2100
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Mailing Address
RICHARD A WATHNE MD
2240 E CENTER ST
POCATELLO, ID 83201-2600
Phone number: 208-233-2100
Copy
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