MARK A TERRY

LEWISTON, ID
NPI1649228446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0205X Radiology, Radiological Physics
(Licence: WA  MD00017547)
Enumeration Date2006-05-04
Last Update Date2008-11-05
Business Address
-- MARK A TERRY MD
415 6TH ST
LEWISTON, ID 83501-2431
Phone number: 208-799-5335
Mailing Address
-- MARK A TERRY MD
531 4TH AVE
LEWISTON, ID 83501-2450
Phone number: 208-743-4393
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