ADAM NIELSEN BURCH

IDAHO FALLS, ID
NPI1205213246
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: ID  O-1364)
Enumeration Date2015-04-28
Last Update Date2020-07-29
Business Address
ADAM NIELSEN BURCH DO
2280 E 25TH ST
IDAHO FALLS, ID 83404-7542
Phone number: 208-227-2100
Mailing Address
ADAM NIELSEN BURCH DO
PO BOX 742358
ATLANTA, GA 30374-2358
Phone number:
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