NATHAN TILLOTSON
Individual Provider (NPI-1)
Active
Obstetrics & Gynecology, Obstetrics
Provider Information
- NPI Number
1770670473- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 315 E ELM ST STE 310, CALDWELL, ID, 836054881
- Phone
- (208) 454-2035
- Fax
- (208) 454-1065
Specialties & Taxonomies
Obstetrics & Gynecology
License: KY #02426
Obstetrics & Gynecology, Obstetrics
Primary License: KS #0546950
All Addresses
MAILING
PO BOX 742941
ATLANTA, GA, 303742941