DAVID WINCHESTER

IDAHO FALLS, ID
NPI1730655283
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  59910)
Enumeration Date2018-10-22
Last Update Date2018-10-22
Business Address
DAVID WINCHESTER FNP
2730 CHANNING WAY
IDAHO FALLS, ID 83404-5049
Phone number: 208-542-7100
Mailing Address
DAVID WINCHESTER FNP
1274 RICHLAND DR
IDAHO FALLS, ID 83401-4088
Phone number: 208-201-3953
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