Individual
ADAM MEZIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 CHANNING WAY STE 206, IDAHO FALLS, ID 83404-7546
(208) 529-2230
Mailing address
PO BOX 277381, ATLANTA, GA 30384-7381
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M-15182
ID
Other
Enumeration date
05/22/2015
Last updated
06/04/2024
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