VINCENT FIBELSTAD

LEWISTON, ID
NPI1184762825
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-02)
Enumeration Date2007-02-02
Last Update Date2007-07-09
Business Address
-- VINCENT FIBELSTAD PA
415 6TH ST
LEWISTON, ID 83501-2431
Phone number: 208-743-2511
Mailing Address
-- VINCENT FIBELSTAD PA
415 6TH ST
LEWISTON, ID 83501-2431
Phone number: 208-743-2511