Individual
RICHARD GABRIEL HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
465 MEMORIAL DR, POCATELLO, ID 83201-4098
(208) 308-4881
Mailing address
4672 CHRISTINE ST, CHUBBUCK, ID 83202-6500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5971959
ID
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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