NATHAN WHEATLEY

COEUR D ALENE, ID
NPI1407307259
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: ID  PA-1417)
Enumeration Date2016-10-17
Last Update Date2016-10-17
Business Address
NATHAN WHEATLEY
1090 W PARK PL
COEUR D ALENE, ID 83814-2785
Phone number: 208-292-0292
Mailing Address
NATHAN WHEATLEY
PO BOX 3648
COEUR D ALENE, ID 83816-2522
Phone number:
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