MERRICK GORDON REYNOLDS

TWIN FALLS, ID
NPI1891097234
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: ID  PA876)
Enumeration Date2010-11-17
Last Update Date2010-11-17
Business Address
MERRICK GORDON REYNOLDS PA
526 SHOUP AVE W SUITE E
TWIN FALLS, ID 83301-5050
Phone number: 208-733-1112
Mailing Address
MERRICK GORDON REYNOLDS PA
526 SHOUP AVE W SUITE E
TWIN FALLS, ID 83301-5050
Phone number: 208-733-1112
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