SCOTT DONALD WILLOUGHBY

MERIDIAN, ID
NPI1457897852
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  54825)
Enumeration Date2017-01-10
Last Update Date2020-01-20
Business Address
SCOTT DONALD WILLOUGHBY FNP-C
4740 N. PENNGROVE WAY STE. 100
MERIDIAN, ID 83646
Phone number: 208-938-3663
Mailing Address
SCOTT DONALD WILLOUGHBY FNP-C
4740 N PENNGROVE WAY STE 100
MERIDIAN, ID 83646-7446
Phone number: 208-938-3663
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