REID WAYNE LOFGRAN

GOODING, ID
NPI1144321753
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  255)
Enumeration Date2006-09-26
Last Update Date2015-03-13
Business Address
-- REID WAYNE LOFGRAN DO
267 N CANYON DR
GOODING, ID 83330-5500
Phone number: 208-934-4433
Mailing Address
-- REID WAYNE LOFGRAN DO
134 W 4TH AVE 267 NORTH CANYON DR
GOODING, ID 83330-1248
Phone number: 208-934-4446
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