RUSSELL GARY GRIFFETH

IDAHO FALLS, ID
NPI1841359866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-623)
Enumeration Date2006-12-06
Last Update Date2007-07-08
Business Address
-- RUSSELL GARY GRIFFETH MPT
2037 E 17TH ST
IDAHO FALLS, ID 83404-6430
Phone number: 208-529-3355
Mailing Address
-- RUSSELL GARY GRIFFETH MPT
2037 E 17TH ST
IDAHO FALLS, ID 83404-6430
Phone number: 208-529-3355
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