HYRUM BERT PRESTWICH

IDAHO FALLS, ID
NPI1891314522
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: ID  8061678)
Enumeration Date2020-04-13
Last Update Date2024-07-31
Business Address
HYRUM BERT PRESTWICH FNP-C
3245 CHANNING WAY
IDAHO FALLS, ID 83404-7536
Phone number: 208-227-2790
Mailing Address
HYRUM BERT PRESTWICH FNP-C
3245 CHANNING WAY
IDAHO FALLS, ID 83404-7536
Phone number: 208-227-2700