Individual
WILLIAM SCOTT ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1550 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 529-5942
(208) 529-5951
Mailing address
1550 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 529-5942
(208) 529-5951
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-812
ID
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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