Southern Idaho Wound Care Pllc

NPI #1679382600 in Rigby, Idaho

Provider Information

NPI Number
1679382600
Entity Type
Organization
Organization Name
Southern Idaho Wound Care Pllc
Primary Specialty
Nurse Practitioner
Enumeration Date
Jan 3, 2025
Last Updated
Jan 3, 2025

Practice Location

Address
242 N 4200 E
City
Rigby
State
Idaho
ZIP Code
83442-5977
Phone
(858) 382-2764

Authorized Official

Name
KUSHALJIT DHESI, MD
Title
OWNER
Phone
(858) 382-2764

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Nurse Practitioner

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