person
Justin Gregory Merzlock, FNP
Family Nurse Practitioner in Chubbuck, Idaho
NPI 1013668847

Justin Gregory Merzlock is a Family Nurse Practitioner based in Pocatello, ID and is specialized in Family. Justin Gregory Merzlock practices in Chubbuck, ID and has the professional credentials of FNP. The NPI Number for Justin Gregory Merzlock is 1013668847 and holds a License No. 71322 (Idaho).

The current practice location address for Justin Gregory Merzlock is 4511 Zebe Ave, Chubbuck, ID and can be reached out via phone at 208-904-4780 and via fax at 208-904-4832.

Location: 4511 Zebe Ave, Chubbuck, ID, 83202-5345
person
Provider Profile Details
NPI Number
1013668847
Provider Name
Justin Gregory Merzlock
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
4511 Zebe Ave, Chubbuck, ID, 83202-5345
Phone Number
208-904-4780
Fax Number
208-904-4832
Provider Enumeration Date
01/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4511 Zebe Ave
City
State
Zip
83202-4707
Phone Number
208-904-4780
Fax Number
208-904-4832
person
Provider Business Mailing Address Details
Address
4511 Zebe Ave
City
State
Zip
83202-4707
Phone Number
208-904-4780
Fax Number
208-904-4832
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71322 (Idaho)
Definition
Definition to come...
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