ADAM ROBERT BLAKEMAN

RIGBY, ID
NPI1275071128
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-1474)
Enumeration Date2017-02-10
Last Update Date2017-02-10
Business Address
-- ADAM ROBERT BLAKEMAN PA-C
711 RIGBY LAKE DR STE 115
RIGBY, ID 83442-5230
Phone number: 208-745-5021
Mailing Address
-- ADAM ROBERT BLAKEMAN PA-C
711 RIGBY LAKE DR STE 115
RIGBY, ID 83442-5230
Phone number: 208-745-5021
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