Individual
CHAD RODGER HORROCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
283 N 1ST E, DRIGGS, ID 83422-5109
(208) 354-2302
(208) 354-8392
Mailing address
283 N 1ST E, DRIGGS, ID 83422-5109
(208) 354-2302
(208) 354-8392
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-7721
ID
Other
Enumeration date
11/06/2006
Last updated
07/09/2007
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