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Douglas Pearson
NPI 1750827549 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3551 W Antelope Rd
Moore, ID 83255 - Phone
- (208) 680-5339
- Organisation at this address
- Easy Go Express
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Also registered as
- 343800000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-01-17
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