MICHAEL JUDE PANKAU

IDAHO FALLS, ID
NPI1558475111
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: ID  M4815)
Additional Taxonomies208000000X Pediatrics
(Licence: TX  F9918)
Enumeration Date2006-08-19
Last Update Date2009-09-10
Business Address
-- MICHAEL JUDE PANKAU MD
3430 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7579
Phone number: 208-523-3060
Mailing Address
-- MICHAEL JUDE PANKAU MD
3430 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7579
Phone number: 208-523-3060
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