ADAM BEADERSTADT

IDAHO FALLS, ID
NPI1730935420
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: ID  PTA8267)
Enumeration Date2024-04-24
Last Update Date2024-04-24
Business Address
ADAM BEADERSTADT PTA
2037 E 17TH ST
IDAHO FALLS, ID 83404-6430
Phone number: 208-529-3355
Mailing Address
ADAM BEADERSTADT PTA
2037 E 17TH ST
IDAHO FALLS, ID 83404-6430
Phone number: 208-529-3355
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