RICKY J AXTELL

MERIDIAN, ID
NPI1548482771
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M-10997)
Enumeration Date2007-05-03
Last Update Date2023-03-23
Business Address
Dr. RICKY J AXTELL MD
3277 E. LOUISE DR., STE. 200
MERIDIAN, ID 83642
Phone number: 208-468-5910
Mailing Address
Dr. RICKY J AXTELL MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-375-0862
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