ROGER SCOTT MALM

IDAHO FALLS, ID
NPI1730190935
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA220)
Enumeration Date2006-08-11
Last Update Date2020-05-12
Business Address
ROGER SCOTT MALM PA
740 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5285
Phone number: 208-542-9111
Mailing Address
ROGER SCOTT MALM PA
740 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5285
Phone number: 208-542-9111
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