ROGER SCOTT MALM

NAMPA, ID
NPI1730190935
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA220)
Enumeration Date2006-08-11
Last Update Date2024-12-17
Business Address
ROGER SCOTT MALM PA
824 S DIAMOND ST
NAMPA, ID 83686-5960
Phone number: 208-606-0396
Mailing Address
ROGER SCOTT MALM PA
824 S DIAMOND ST
NAMPA, ID 83686-5960
Phone number: 208-606-0396
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