Individual
JOHN URRUTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C
Contact information
Practice address
176 FALLS AVENUE, TWIN FALLS, ID 83301
(208) 733-3181
(208) 733-3168
Mailing address
176 FALLS AVENUE, TWIN FALLS, ID 83301
(208) 733-3181
(208) 733-3168
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA336
ID
Other
Enumeration date
09/26/2006
Last updated
05/06/2024
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