PAUL BECKETT

BLACKFOOT, ID
NPI1831115757
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02002804A)
Enumeration Date2006-07-14
Last Update Date2007-07-08
Business Address
-- PAUL BECKETT DO
1441 PARKWAY DR
BLACKFOOT, ID 83221-1667
Phone number: 208-785-2600
Mailing Address
-- PAUL BECKETT DO
1441 PARKWAY DR
BLACKFOOT, ID 83221-1667
Phone number: 208-785-2600
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