DUSTIN FERREL TEW

IDAHO FALLS, ID
NPI1568821163
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: CA  20A18766)
Enumeration Date2016-02-11
Last Update Date2022-11-23
Business Address
DUSTIN FERREL TEW D.O.
2265 E SUNNYSIDE RD
IDAHO FALLS, ID 83404-7598
Phone number: 208-542-5000
Mailing Address
DUSTIN FERREL TEW D.O.
11929 BRIARLEAF WAY
SAN DIEGO, CA 92128-5254
Phone number: 208-339-4239
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