MICHAEL PAHANG

MERIDIAN, ID
NPI1033592605
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID  54932)
Enumeration Date2015-07-01
Last Update Date2017-01-18
Business Address
-- MICHAEL PAHANG PMHNP
1550 N CRESTMONT DR
MERIDIAN, ID 83642-2184
Phone number: 208-288-4200
Mailing Address
-- MICHAEL PAHANG PMHNP
1550 N CRESTMONT DR
MERIDIAN, ID 83642-2184
Phone number: 208-288-4200
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