Courtland Reid Carbol, MD Valid NPI
Individual provider · General Practice Physician · Kuna, ID
- NPI
- 1780610071
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Physician (General Practice)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208D00000X
- License number
- M-9168 (ID)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-06-25
- Last updated
- 2023-06-07
Practice location
206 S Sunniva Ave
Kuna, ID 83634-5165
(208) 406-8941