Individual
GLEN R ALBERTSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1120 MONTANA ST, GOODING, ID 83330-1858
(208) 934-4433
(208) 934-8643
Mailing address
1120 MONTANA ST, PO BOX 481, GOODING, ID 83330-1858
(208) 934-4433
(208) 934-8643
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
282NC0060X
ID
Other
Enumeration date
12/13/2006
Last updated
07/09/2007
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