Individual
MR. SCOTT EDWARD MAREMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
1900 W PINE AVE, MERIDIAN, ID 83642-1961
(208) 888-4905
(208) 888-5273
Mailing address
456 N KNOX AVE, STAR, ID 83669-5293
(208) 922-8799
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-172
ID
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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