DOUGLAS FAVOR

POCATELLO, ID
NPI1619912953
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: ID  M6949)
Enumeration Date2006-06-19
Last Update Date2019-09-05
Business Address
DOUGLAS FAVOR MD
777 HOSPITAL WAY EMERGENCY DEPT
POCATELLO, ID 83201
Phone number: 208-417-7569
Mailing Address
DOUGLAS FAVOR MD
PO BOX 64568
PHOENIX, AZ 85082-4568
Phone number: 208-417-7569
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