Individual
MR. LINDSEY ALTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3586 ADDISON AVENUE EAST BOX 818, KIMBERLY, ID 83341-1475
(208) 423-4453
(928) 423-4453
Mailing address
PO BOX 818/3586 ADDISON AVE. EAST, KIMBERLY, ID 83341-1475
(208) 423-4453
(928) 423-4453
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2554
AZ
Other
Enumeration date
08/17/2005
Last updated
02/23/2009
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