Individual
DR. AMADOR RAMIREZ CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
354 S 1000 W, BLACKFOOT, ID 83221-6085
(208) 684-4958
Mailing address
354 S 1000 W, BLACKFOOT, ID 83221-6085
(208) 684-4958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-0416
ID
Other
Enumeration date
07/18/2006
Last updated
01/21/2008
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