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Individual

NATHAN T. ROWE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
110 VISTA DR, POCATELLO, ID 83201-5824
(208) 234-2300
Mailing address
110 VISTA DR, POCATELLO, ID 83201-5824
(208) 234-2300

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67718
ID

Other

Enumeration date
03/24/2021
Last updated
05/26/2021
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