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Individual

ALFRED I NARRAWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
777 HOSPITAL WAY BLDG A, STE 101, POCATELLO, ID 83201-2753
(208) 234-2001
Mailing address
PO BOX 4168, POCATELLO, ID 83205-4168
(208) 234-2001
(208) 232-2195

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
O-0457
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
807829100
ID
Enumeration date
08/24/2006
Last updated
11/07/2011
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