SCOTT R HIATT

NAMPA, ID
NPI1093705030
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: ID  O289)
Enumeration Date2005-10-21
Last Update Date2014-05-21
Business Address
-- SCOTT R HIATT D.O.
1524 12TH AVE RD
NAMPA, ID 83686-6008
Phone number: 208-463-5050
Mailing Address
-- SCOTT R HIATT D.O.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-463-5050