TIFFANY C COUGHENOUR

IDAHO FALLS, ID
NPI1205959756
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA244)
Enumeration Date2007-04-09
Last Update Date2016-09-13
Business Address
-- TIFFANY C COUGHENOUR PA
3200 CHANNING WAY STE 205
IDAHO FALLS, ID 83404-7546
Phone number: 208-535-4300
Mailing Address
-- TIFFANY C COUGHENOUR PA
2985 CORTEZ AVE STE 200
IDAHO FALLS, ID 83404-7554
Phone number: 208-535-4300
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