Individual
DR. TONY B GOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 227-2575
(208) 227-2571
Mailing address
2860 CHANNING WAY, SUITE 213, IDAHO FALLS, ID 83404-7531
(208) 227-2575
(208) 227-2571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-3965
ID
Other
Enumeration date
10/10/2006
Last updated
04/10/2012
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