Individual
PAUL CREIGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5038 E RIVER PL, POST FALLS, ID 83854-6891
(208) 680-8296
Mailing address
5038 E RIVER PL, POST FALLS, ID 83854-6891
(208) 680-8296
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
M3377
ID
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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