KADEN LYDE FACER

IDAHO FALLS, ID
NPI1740819986
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ID  M-17652)
Enumeration Date2020-04-08
Last Update Date2024-08-27
Business Address
KADEN LYDE FACER MD
1846 1ST ST STE 242
IDAHO FALLS, ID 83401-4415
Phone number: 208-254-0711
Mailing Address
KADEN LYDE FACER MD
1846 1ST ST STE 242
IDAHO FALLS, ID 83401-4415
Phone number: 208-254-0711
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