CORALYN ALEXANDER MD PA

TWIN FALLS, ID
NPI1861718561
Entity TypeOrganization
Authorized ContactCORALYN ALEXANDER
Owner
208-734-3900
Organization Subpart ?No
Primary Taxonomy261QM0801X 
(Licence: ID  m6940)
Enumeration Date2010-04-20
Last Update Date2010-08-19
Business Address
CORALYN ALEXANDER MD PA
488 BLUE LAKES BLVD N STE 102
TWIN FALLS, ID 83301-4800
Phone number: 208-734-3900
Mailing Address
CORALYN ALEXANDER MD PA
PO BOX 2103
TWIN FALLS, ID 83303-2103
Phone number: 208-734-3900