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Individual

HANNAH ELIZABETH CAULFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
777 HOSPITAL WAY, #201, POCATELLO, ID 83201-5175
(208) 239-2620
(208) 239-3778
Mailing address
PO BOX 4168, POCATELLO, ID 83205-4168
(208) 239-2620
(208) 239-3778

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M13122
ID
208600000X
Surgery Physician
R72636
AZ

Other

Enumeration date
07/13/2011
Last updated
04/09/2016
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