MARA ADDITON M.D.
Individual Provider (NPI-1)
Active
Surgery
Provider Information
- NPI Number
1184067613- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 777 HOSPITAL WAY STE 201, POCATELLO, ID, 832015175
- Phone
- (208) 239-2620
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Surgery
Primary License: ID #M-14265