Individual
MR. BARTIMAEUS ALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, ACMT
Contact information
Practice address
4718 E HORSEHAVEN AVE, POST FALLS, ID 83854-4658
(208) 704-0468
Mailing address
4718 E HORSEHAVEN AVE, POST FALLS, ID 83854-4658
(208) 704-0468
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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