EVAN DAYNE IVIE

AMMON, ID
NPI1558765891
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1265)
Enumeration Date2014-10-15
Last Update Date2025-09-03
Business Address
EVAN DAYNE IVIE PA
3456 E 17TH ST STE 190
AMMON, ID 83406-6749
Phone number: 208-524-2222
Mailing Address
EVAN DAYNE IVIE PA
3456 E 17TH ST STE 190
AMMON, ID 83406-6749
Phone number: 208-524-2222
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