Earl C Chester Jr. MD PA

NPI #1760653059 in Pocatello, Idaho

Provider Information

NPI Number: 1760653059
Entity Type: Organization
Organization Name: Earl C Chester Jr. MD PA
Primary Specialty: Dermatology
Enumeration Date: Mar 14, 2008
Last Updated: Mar 18, 2008

Practice Location

Address: 115 S 15TH AVE
Address 2: SUITE E
City: Pocatello
State: Idaho
ZIP Code: 83201-4068
Phone: (208) 232-2107

Authorized Official

Name: DR. EARL C CHESTER II, MD
Title: OWNER
Phone: (208) 232-2107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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