ERIC FOUNTAIN
Individual Provider (NPI-1)
Active
Internal Medicine, Hematology & Oncology
Provider Information
- NPI Number
1649513250- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 520 S EAGLE RD, MERIDIAN, ID, 836426351
- Phone
- (208) 381-2484
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Internal Medicine, Medical Oncology
License: ID #M14950
Internal Medicine, Hematology & Oncology
Primary License: ID #M14950