EDWARD DESANO

POCATELLO, ID
NPI1831248962
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  m3307)
Enumeration Date2007-01-09
Last Update Date2007-07-08
Business Address
-- EDWARD DESANO md
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-282-4700
Mailing Address
-- EDWARD DESANO md
651 MEMORIAL DR
POCATELLO, ID 83201-4071
Phone number: 208-239-2110
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