JONATHAN WILLIAM ROZACK

IDAHO FALLS, ID
NPI1255429288
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: ID  NP525A)
Enumeration Date2006-10-11
Last Update Date2007-07-08
Business Address
JONATHAN WILLIAM ROZACK FNP-C
2775 CHANNING WAY
IDAHO FALLS, ID 83404-7510
Phone number: 208-524-0133
Mailing Address
JONATHAN WILLIAM ROZACK FNP-C
2775 CHANNING WAY
IDAHO FALLS, ID 83404-7510
Phone number: 208-524-0133
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