CLAYTON HAWKS

MERIDIAN, ID
NPI1093342834
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  CNP-63794)
Enumeration Date2020-03-23
Last Update Date2020-03-23
Business Address
CLAYTON HAWKS NP
520 S EAGLE RD
MERIDIAN, ID 83642-6351
Phone number: 208-706-5930
Mailing Address
CLAYTON HAWKS NP
3709 W MORRIS HILL RD
BOISE, ID 83706-2643
Phone number: 208-869-5105