Individual
ELLIOT HUNTSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
3345 POTOMAC WAY, IDAHO FALLS, ID 83404
(208) 552-6210
(208) 552-2027
Mailing address
3345 POTOMAC WAY, IDAHO FALLS, ID 83404
(208) 552-6210
(208) 552-2027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1455A
ID
Other
Enumeration date
07/23/2014
Last updated
01/08/2016
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