Individual
CAMERON DARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
645 E STATE ST, EAGLE, ID 83616-5914
(208) 939-9594
Mailing address
645 E STATE ST, EAGLE, ID 83616-5914
(208) 939-9594
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2171063
ID
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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