Individual
NATHAN ROBERT WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
526 SHOUP AVE STE H, TWIN FALLS, ID 83301
(208) 733-2400
Mailing address
526 H SHOUP AVE W, TWIN FALLS, ID 83301
(208) 733-2400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5934
NE
207W00000X
Ophthalmology Physician
Primary
5934
NE
Other
Enumeration date
07/02/2008
Last updated
07/10/2012
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