ROGER DAVIES

IDAHO FALLS, ID
NPI1770612129
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-296)
Enumeration Date2007-03-03
Last Update Date2007-07-08
Business Address
-- ROGER DAVIES A.T.,C.
690 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401-4073
Phone number: 208-604-0215
Mailing Address
-- ROGER DAVIES A.T.,C.
2450 VIRLOW ST APT 4
IDAHO FALLS, ID 83401-3314
Phone number: 208-604-0215
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