DUSTIN DAKOTA PRINCE DO
Individual Provider (NPI-1)
Active
Family Medicine, Sports Medicine
Provider Information
- NPI Number
1366183790- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 714 N COLLEGE RD STE A, TWIN FALLS, ID, 833015812
- Phone
- (208) 814-5075
- Fax
- (208) 933-9660
Specialties & Taxonomies
Family Medicine
License: IN #02007373A
Family Medicine, Sports Medicine
Primary License: ID #3781208
All Addresses
MAILING
190 E BANNOCK ST
BOISE, ID, 837126241