Individual
SAMUEL TEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.V.M.
Contact information
Practice address
207 THAIN RD, LEWISTON, ID 83501-4829
(208) 743-5432
(208) 743-5547
Mailing address
207 THAIN RD, LEWISTON, ID 83501-4829
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
V-4321
ID
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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