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Individual

DR. MAX ESPOSITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
1400 E TERRY DR, POCATELLO, ID 83209-0001
(208) 282-2590
Mailing address
1400 E TERRY DR, ROOM 202, POCATELLO, ID 83209-0001

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PT-4787
ID

Other

Enumeration date
09/15/2016
Last updated
09/15/2016
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