Alvin Jackson Secrest III, MD

NPI #1053314864 in Cottonwood, Idaho

Provider Information

NPI Number
1053314864
Entity Type
Individual
Name
Alvin Jackson Secrest III, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
May 24, 2005
Last Updated
Aug 11, 2021

Practice Location

Address
701 LEWISTON ST
State
Idaho
ZIP Code
83522-9750
Phone
(208) 962-3267

Specialties & Taxonomy Codes

Specialty
Family Medicine

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