Individual
COLBY DOUGLAS EDMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
334 N 4440 E, RIGBY, ID 83442-5887
(707) 590-4449
Mailing address
334 N 4440 E, RIGBY, ID 83442-5887
(707) 590-4449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4071459
ID
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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