Individual
DOUGLAS FRANK PFISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASLD
Contact information
Practice address
554 4TH STREET, IDAHO FALLS, ID 83401
(208) 523-2380
(208) 523-2380
Mailing address
554 4TH STREET, IDAHO FALLS, ID 83401
(208) 523-2380
(208) 523-2380
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
LD19
ID
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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