ADA WEST DERMATOPATHOLOGY, LLC
Medical Laboratory at Millenium Way, Meridian, ID

License number
Idaho P1629
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: RANDALL D. BURR M.D.
Title: OWNER/PHYSICIAN
Phone: (208) 884-3376
Address
Address
1618 Millenium Way STE 220, Meridian, ID 83642
National Provider ID: 1760730436
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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