Individual
MR. LANCE RONALD WEHRLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 785-3838
(208) 782-3994
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 785-3838
(208) 782-3994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
O-0802
ID
Other
Enumeration date
06/13/2011
Last updated
07/14/2014
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