Individual
TERRY N AMIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3456 E 17TH ST, SUITE 125, AMMON, ID 83406-6757
(208) 529-2828
(208) 529-3890
Mailing address
3456 E 17TH ST, SUITE 125, AMMON, ID 83406-6757
(208) 529-2828
(208) 529-3890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M6533
ID
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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