MANUEL SIERRA

IDAHO FALLS, ID
NPI1861467375
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: ID  M10460)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  A85395)
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: MA  227980)
Enumeration Date2006-02-19
Last Update Date2009-05-28
Business Address
-- MANUEL SIERRA M.D.
1740 E 17TH ST SUITE A
IDAHO FALLS, ID 83404-6375
Phone number: 208-346-7500
Mailing Address
-- MANUEL SIERRA M.D.
300 VALLEYVIEW DR
POCATELLO, ID 83204-4708
Phone number: 208-244-2707