Individual
MAX BARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1441 PARKWAY DR, BLACKFOOT, ID 83221-1667
(208) 785-2600
Mailing address
1441 PARKWAY DR, BLACKFOOT, ID 83221-1667
(208) 785-2600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1703A
ID
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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