ADAM PACKER

POCATELLO, ID
NPI1669858734
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP-1611A)
Enumeration Date2015-07-30
Last Update Date2015-08-24
Business Address
-- ADAM PACKER NP
777 HOSPITAL WAY
POCATELLO, ID 83201-5175
Phone number: 208-239-1029
Mailing Address
-- ADAM PACKER NP
PO BOX 4168
POCATELLO, ID 83205-4168
Phone number: 208-239-2065
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