Individual
RICHARD R HOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
1448 E CENTER ST, SUITE A-1, POCATELLO, ID 83201-4132
(208) 238-1100
(208) 233-4933
Mailing address
1448 E CENTER ST, SUITE A-1, POCATELLO, ID 83201-4132
(208) 238-1100
(208) 233-4933
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
34
ID
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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