KARSON FAWCETT KALIAN

NAMPA, ID
NPI1699262527
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine Pulmonary Disease
(Licence: ID  O-1900)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NE  8336)
Enumeration Date2018-04-16
Last Update Date2024-04-02
Business Address
KARSON FAWCETT KALIAN DO
4424 E FLAMINGO AVE STE 210
NAMPA, ID 83687-9291
Phone number: 208-302-2000
Mailing Address
KARSON FAWCETT KALIAN DO
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-5170