JUSTIN DEAN JUDKINS

POCATELLO, ID
NPI1316677594
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2579)
Enumeration Date2022-06-12
Last Update Date2023-11-01
Business Address
JUSTIN DEAN JUDKINS
777 HOSPITAL WAY
POCATELLO, ID 83201-5175
Phone number: 208-239-1000
Mailing Address
JUSTIN DEAN JUDKINS
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209-0002
Phone number: 208-282-4726
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