Individual
DUSTIN FERREL TEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2265 E SUNNYSIDE RD, IDAHO FALLS, ID 83404-7598
(208) 542-5000
Mailing address
11929 BRIARLEAF WAY, SAN DIEGO, CA 92128-5254
(208) 339-4239
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A18766
CA
Other
Enumeration date
02/11/2016
Last updated
11/23/2022
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