Graduated: 2011
NPI: 1003196429
Practice Locations (3)
NOT TSOO GAH NEE INDIAN HEALTH
717 MISSION RD
FORT HALL, ID 832030717
NOT TSOO GAH NEE INDIAN HEALTH
MISSION RD
FORT HALL, ID 832030717
2082385400
NOT TSOO GAH NEE INDIAN HEALTH
PO BOX 717 MISSION RD
FORT HALL, ID 832030717
Source: CMS National Downloadable File, September 2026.