Most Relevant Information
Provider Data
| NPI Number: | 1003648957 |
| Provider Name: | MICHAEL BRIGGS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/19/2024 |
| Last Updated: | 08/19/2024 |
Provider Practice Location
921 S 8TH AVE STOP 8253
POCATELLO
ID
832090002
Practice Location Phone/Fax
| Phone: | 2082824726 |
| Fax: |
Provider Mailing Location
921 S 8TH AVE STOP 8253
POCATELLO
ID
832090002
Provider Mailing Phone/Fax
| Phone: | 2082824726 |
| Fax: |