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Dr. HEATHER FOWLER CUMBO MD

Individual Provider (NPI-1) Active

Psychiatry & Neurology, Psychiatry

Provider Information

NPI Number
1063668077
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
415 6TH ST, LEWISTON, ID, 835012434
Phone
(208) 750-7445

Specialties & Taxonomies

Internal Medicine License: NC #149697
Psychiatry & Neurology, Psychiatry License: ID #M-13872
Psychiatry & Neurology, Psychiatry Primary License: FL #ME121892

All Addresses

LOCATION

415 6TH ST

LEWISTON, ID, 835012434

(208) 750-7445

MAILING

2280 E 25TH ST

IDAHO FALLS, ID, 834047542

(208) 227-2100