Individual
DAVID ANDRUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5424 E 65TH S, AMMON, ID 83406-5100
(208) 206-4535
Mailing address
5424 E 65TH S, AMMON, ID 83406-5100
(208) 206-4535
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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