DANIEL K HINCKLEY MD PA

IDAHO FALLS, ID
NPI1518035336
Entity TypeOrganization
Authorized ContactDANIEL K HINCKLEY
President
208-522-1764
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: ID  M-5686)
Enumeration Date2006-12-01
Last Update Date2014-12-10
Business Address
DANIEL K HINCKLEY MD PA
2065 E 17TH ST ST A
IDAHO FALLS, ID 83404-8042
Phone number: 208-522-1764
Mailing Address
DANIEL K HINCKLEY MD PA
2065 E 17TH ST SUITE A
IDAHO FALLS, ID 83404-8042
Phone number: 208-522-1764
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