COLE SMALL

TWIN FALLS, ID
NPI1417118324
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: ID  PT-2374)
Enumeration Date2008-06-23
Last Update Date2018-02-15
Business Address
COLE SMALL DPT
775 POLE LINE RD W
TWIN FALLS, ID 83301-5814
Phone number: 208-814-2570
Mailing Address
COLE SMALL DPT
775 POLE LINE RD W STE 202
TWIN FALLS, ID 83301-5820
Phone number: 208-814-2570
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