Individual
JUSTIN G FIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2520 S 5TH AVE, POCATELLO, ID 83204-1923
(208) 233-5433
Mailing address
2520 S 5TH AVE, POCATELLO, ID 83204-1923
(208) 233-5433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1461674
ID
Other
Enumeration date
07/23/2022
Last updated
09/23/2024
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