JUSTIN G FIRTH

POCATELLO, ID
NPI1235864190
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  1461674)
Enumeration Date2022-07-23
Last Update Date2024-09-23
Business Address
JUSTIN G FIRTH
2520 S 5TH AVE
POCATELLO, ID 83204-1923
Phone number: 208-233-5433
Mailing Address
JUSTIN G FIRTH
2520 S 5TH AVE
POCATELLO, ID 83204-1923
Phone number: 208-233-5433
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