ADAM LANDON

POCATELLO, ID
NPI1922786391
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  F06231595)
Enumeration Date2023-07-06
Last Update Date2023-07-06
Business Address
ADAM LANDON FNP-C
495 YELLOWSTONE AVE
POCATELLO, ID 83201-4531
Phone number: 208-478-7422
Mailing Address
ADAM LANDON FNP-C
417 KURTWOOD DR
POCATELLO, ID 83204-3556
Phone number: 208-317-5576
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