ELIAS RICKS LINES

AMMON, ID
NPI1629716717
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: ID  1271657)
Enumeration Date2022-05-26
Last Update Date2025-08-08
Business Address
ELIAS RICKS LINES DO
3067 EAGLE DR
AMMON, ID 83406-1273
Phone number: 208-522-4600
Mailing Address
ELIAS RICKS LINES DO
3601 4TH ST
LUBBOCK, TX 79430-0002
Phone number:
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