Lance Ronald Wehrle D.O.

NPI 1184919607 - Internal Medicine - 207R00000X

NPI Details
NPI 1184919607
Gender Male
Enumeration Date 06/13/2011
Last Updated 07/14/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
98 POPLAR ST
BLACKFOOT ID, 83221-1758, US
Phone (208) 785-3838
Fax (208) 782-3994
Business Location
98 POPLAR ST
BLACKFOOT ID, 83221-1758, US
Phone (208) 785-3838
Fax (208) 782-3994
Toxanomy
Taxonomy Code 207R00000X
License State Idaho
License Number O-0802
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According to our database, Mr. Lance Ronald Wehrle D.O. NPI is 1184919607, taxonomy code is 207R00000X and license number is O-0802, license state is located at Idaho. Lance Ronald Wehrle D.O. physically located at 98 Poplar St, Blackfoot ID, 83221-1758. NPI Number Lance Ronald Wehrle D.O. has the Individual type.

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1184919607 NPI number is provided on an as is basis without warranty of any kind. 1184919607 is maintained by the National Plan & Provider Enumeration System. The contents of Lance Ronald Wehrle D.O. are for informational purposes only.