Individual
ROBERT W MINGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DRIVER
Contact information
Practice address
126 SHIRA RD, CLEARWATER, ID 83552-5044
(208) 926-0894
Mailing address
126 SHIRA RD, CLEARWATER, ID 83552-5044
(208) 926-0894
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
WA122376H
ID
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
About Stedi
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