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Individual

COURTLAND REID CARBOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
206 S SUNNIVA AVE, KUNA, ID 83634-5165
(208) 406-8941
(208) 238-8888
Mailing address
206 S SUNNIVA AVE, KUNA, ID 83634-5165
(208) 406-8941
(208) 238-8888

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M9168
ID
208D00000X
General Practice Physician
Primary
M-9168
ID

Other

Enumeration date
06/25/2006
Last updated
06/07/2023
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