JUSTIN GREGG NELSON

BLACKFOOT, ID
NPI1790403178
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  4461378)
Enumeration Date2022-08-22
Last Update Date2024-10-09
Business Address
JUSTIN GREGG NELSON PA-C
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-785-4100
Mailing Address
JUSTIN GREGG NELSON PA-C
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-785-4100
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