Individual
DR. MICHAEL RIXFORD PROUDFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1813 CALDWELL BLVD, NAMPA, ID 83651-1505
(208) 466-4521
Mailing address
6853 N BOGART LN, BOISE, ID 83714-4302
(281) 253-6265
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6309
ID
Other
Enumeration date
02/27/2010
Last updated
02/27/2010
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