Individual
CORY ONDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1202 E LOCUST ST, EMMETT, ID 83617-2715
(208) 365-3561
Mailing address
1202 E LOCUST ST, EMMETT, ID 83617-2715
(208) 365-3561
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
DO167057
OR
207P00000X
Emergency Medicine Physician
Primary
O-0903
ID
Other
Enumeration date
04/12/2011
Last updated
01/27/2016
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