ALVIN JACKSON SECREST

COTTONWOOD, ID
NPI1053314864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M6256)
Enumeration Date2005-05-24
Last Update Date2021-08-11
Business Address
ALVIN JACKSON SECREST MD
701 LEWISTON ST
COTTONWOOD, ID 83522-9750
Phone number: 208-962-3267
Mailing Address
ALVIN JACKSON SECREST MD
PO BOX 565
COTTONWOOD, ID 83522-0565
Phone number: 208-962-3267
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