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Search › Idaho › 2251X0800X

Columbus Candies, PT MPA/HA PH.D

NPI 1366701948 · on the registry since 2012

Practice

Address
1611 N Whitley Dr Ste 1a
Fruitland, ID 83619
Phone
(208) 452-0021
Fax
(208) 452-0019
Organisation at this address
Therapy Connection
Snake River Dermatology, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
2251X0800X
2251X0800X
Also registered as
225100000X
Licence states on file
TX, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-10-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho