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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

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