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Individual

DIANA B KRAWTZ

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
POCATELLO FAMILY MEDICINE, 465 MEMORIAL DRIVE, POCATELLO, ID 83209-0001
(208) 282-4711
Mailing address
POCATELLO FAMILY MEDICINE, 465 MEMORIAL DRIVE, POCATELLO, ID 83209-0001
(208) 282-4711

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP698
ID

Other

Enumeration date
04/13/2006
Last updated
07/08/2007
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