Individual
TIMOTHY MCHUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 SHOUP AVE, SUITE 17, IDAHO FALLS, ID 83402-3657
(208) 528-5755
Mailing address
150 SHOUP AVE, SUITE 17, IDAHO FALLS, ID 83402-3657
(208) 528-5755
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1479
ID
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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