LOGAN NIELSON

BURLEY, ID
NPI1184199648
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2018-10-10
Last Update Date2018-10-10
Business Address
Mr. LOGAN NIELSON PA-C
382 N OVERLAND AVE
BURLEY, ID 83318-3433
Phone number: 208-678-6996
Mailing Address
Mr. LOGAN NIELSON PA-C
300 DENNIS DR
BURLEY, ID 83318-3217
Phone number:
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