William Mark Imus JR. is a Nurse Practitioner based in Grangeville, ID. William Mark Imus JR. practices in Grangeville, ID and has the professional credentials of FNP. The NPI Number for William Mark Imus JR. is 1902836802 and holds a License No. NP57A (Idaho).
The current practice location address for William Mark Imus JR. is 610 Nw 2Nd St, Grangeville, ID and can be reached out via phone at 208-983-5120 and via fax at 208-983-5404.
Identifier | Type | State | Issuer |
---|---|---|---|
804251600 | 05 | ID | |
NPWD6 | 01 | ID | BLUE CROSS OF IDAHO |
000010152061 | 01 | ID | REGENCE BLUE SHIELD |
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