Individual
HUNTER AUGUSTUS CONNOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
875 PERIMETER DR, MOSCOW, ID 83844-9803
(208) 885-6111
Mailing address
1208 TAMARACK DRIVE, MOSCOW, ID 83843
(208) 507-2464
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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