ZACKERY J CLEVERLEY

REXBURG, ID
NPI1518476092
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: ID  PA-1527)
Enumeration Date2017-09-27
Last Update Date2018-06-16
Business Address
ZACKERY J CLEVERLEY PA-C
360 E MAIN ST
REXBURG, ID 83440-2015
Phone number: 208-356-9550
Mailing Address
ZACKERY J CLEVERLEY PA-C
360 E MAIN ST
REXBURG, ID 83440-2015
Phone number: 1208-356-9550
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