Individual
DANA R FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
2566 KOOTENAI TRAIL RD, BONNERS FERRY, ID 83805-4900
(208) 946-7827
Mailing address
PO BOX 1910, BONNERS FERRY, ID 83805-1910
(208) 946-7827
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
404
MT
237700000X
Hearing Instrument Specialist
Primary
HA 1974
ID
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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