CT DERM PC

FRUITLAND, ID
NPI1902843485
Entity TypeOrganization
Authorized ContactCARL R THORNFELDT
Owner
208-452-7450
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2006-06-01
Last Update Date2015-03-27
Business Address
CT DERM PC
811 NW 12TH ST
FRUITLAND, ID 83619-2268
Phone number: 208-452-7450
Mailing Address
CT DERM PC
811 NW 12TH ST
FRUITLAND, ID 83619-2268
Phone number: 208-452-7450