DOUGLAS FIELD ASHTON

POCATELLO, ID
NPI1780963108
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-401)
Enumeration Date2011-08-16
Last Update Date2011-08-16
Business Address
-- DOUGLAS FIELD ASHTON ATC
560 MEMORIAL DR
POCATELLO, ID 83201-4070
Phone number: 208-234-1960
Mailing Address
-- DOUGLAS FIELD ASHTON ATC
560 MEMORIAL DR
POCATELLO, ID 83201-4070
Phone number: