Individual
PAUL DEBARTON WALBOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
700 E 17TH ST, IDAHO FALLS, ID 83404-6152
(208) 523-0831
(208) 525-4752
Mailing address
875 RIO VIRGIN DR UNIT 276, ST GEORGE, UT 84790-7866
(435) 319-8015
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
P5703
ID
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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