GLEN R ALBERTSON

GOODING, ID
NPI1952462681
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy282NC0060X General Acute Care Hospital Critical Access
(Licence: ID  282NC0060X)
Enumeration Date2006-12-13
Last Update Date2007-07-09
Business Address
GLEN R ALBERTSON M.D
1120 MONTANA ST
GOODING, ID 83330-1858
Phone number: 208-934-4433
Mailing Address
GLEN R ALBERTSON M.D
1120 MONTANA ST PO BOX 481
GOODING, ID 83330-1858
Phone number: 208-934-4433