Ben Terry DO

NPI 1003805037 - Family Medicine - 207Q00000X

NPI Details
NPI 1003805037
Gender Male
Enumeration Date 10/21/2005
Last Updated 07/13/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4400 E FLAMINGO AVE
NAMPA ID, 83687-9203, US
Phone (208) 288-4970
Fax (208) 288-4990
Business Location
217 W GEORGIA AVE
SUITE 115
NAMPA ID, 83686-6811, US
Phone (208) 463-3000
Fax (208) 463-3034
Toxanomy
Taxonomy Code 207Q00000X
License State Idaho
License Number O-225
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According to our database, Ben Terry DO NPI is 1003805037, taxonomy code is 207Q00000X and license number is O-225, license state is located at Idaho. Ben Terry DO physically located at 4400 E Flamingo Ave, Nampa ID, 83687-9203. NPI Number Ben Terry DO has the Individual type.

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1003805037 NPI number is provided on an as is basis without warranty of any kind. 1003805037 is maintained by the National Plan & Provider Enumeration System. The contents of Ben Terry DO are for informational purposes only.