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-- DOUGLAS FIELD ASHTON -- ATC

Individual Provider (NPI-1) Active

Specialist/Technologist, Athletic Trainer

Provider Information

NPI Number
1780963108
Provider Type
Individual Provider (NPI-1)
Credentials
ATC
Status
Active

Contact & Location

Address
560 MEMORIAL DR, POCATELLO, ID, 832014070
Phone
(208) 234-1960
Fax
(208) 233-5033

Specialties & Taxonomies

Specialist/Technologist, Athletic Trainer Primary License: ID #AT-401

All Addresses

MAILING

560 MEMORIAL DR

POCATELLO, ID, 832014070

LOCATION

560 MEMORIAL DR

POCATELLO, ID, 832014070

(208) 234-1960